Provider First Line Business Practice Location Address:
BAPTIST AND GROVE RDS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-881-4602
Provider Business Practice Location Address Fax Number:
412-881-2887
Provider Enumeration Date:
08/11/2006