Provider First Line Business Practice Location Address:
100 8TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCKEESPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15132-2712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-244-2420
Provider Business Practice Location Address Fax Number:
502-996-8282
Provider Enumeration Date:
11/29/2022