Provider First Line Business Practice Location Address:
530 SOUTH ST
Provider Second Line Business Practice Location Address:
SECOND FLOOR
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601-2775
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-689-1553
Provider Business Practice Location Address Fax Number:
724-689-0542
Provider Enumeration Date:
12/24/2008