Provider First Line Business Practice Location Address:
149 DEXTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONROEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15146-1034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-798-6060
Provider Business Practice Location Address Fax Number:
412-798-6204
Provider Enumeration Date:
10/10/2011