Provider First Line Business Practice Location Address:
2501 LEECHBURG RD
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
LOWER BURRELL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15068-3060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-304-0030
Provider Business Practice Location Address Fax Number:
724-304-0035
Provider Enumeration Date:
07/26/2006