Provider First Line Business Practice Location Address:
337 SOMERSET ST
Provider Second Line Business Practice Location Address:
JOHN P MURTHA PAVILLION
Provider Business Practice Location Address City Name:
JOHNSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15901-2541
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-534-4724
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/14/2006