Provider First Line Business Practice Location Address:
8423 MARKET STREET SUITE 101
Provider Second Line Business Practice Location Address:
ST ELIZABETH BOARDMAN HOSPITAL
Provider Business Practice Location Address City Name:
BOARDMAN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-729-8700
Provider Business Practice Location Address Fax Number:
330-729-8701
Provider Enumeration Date:
04/15/2020