Provider First Line Business Practice Location Address:
520 W MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-2602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-437-1400
Provider Business Practice Location Address Fax Number:
724-430-2438
Provider Enumeration Date:
11/01/2012