Provider First Line Business Practice Location Address:
1900 WATERDAM PLAZA DR
Provider Second Line Business Practice Location Address:
BUILDING 3, SUITE 2
Provider Business Practice Location Address City Name:
MC MURRAY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15317-5442
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-942-4444
Provider Business Practice Location Address Fax Number:
724-260-0097
Provider Enumeration Date:
04/10/2013