Provider First Line Business Practice Location Address:
FOURTH AND WALNUT STREETS
Provider Second Line Business Practice Location Address:
RADIOLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-270-7642
Provider Business Practice Location Address Fax Number:
717-272-7069
Provider Enumeration Date:
06/15/2006