Provider First Line Business Practice Location Address:
5000 WATERDAM PLAZA DR
Provider Second Line Business Practice Location Address:
SUITE 240
Provider Business Practice Location Address City Name:
MC MURRAY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15317-5412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-941-0111
Provider Business Practice Location Address Fax Number:
724-942-2130
Provider Enumeration Date:
04/26/2006