Provider First Line Business Practice Location Address:
1645 WEST 8TH STREET
Provider Second Line Business Practice Location Address:
SHRINERS HOSPITALS FOR CHILDREN ERIE
Provider Business Practice Location Address City Name:
ERIE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16505-5097
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-875-8700
Provider Business Practice Location Address Fax Number:
814-875-8756
Provider Enumeration Date:
11/19/2009