Provider First Line Business Practice Location Address:
1169 PHILIPSBURG-BIGLER HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILIPSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16866
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-342-1515
Provider Business Practice Location Address Fax Number:
814-342-1515
Provider Enumeration Date:
11/29/2006