Provider First Line Business Practice Location Address:
100 HOSPITAL AVE
Provider Second Line Business Practice Location Address:
BILLING DEPARTMENT
Provider Business Practice Location Address City Name:
DU BOIS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15801-1440
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-375-3033
Provider Business Practice Location Address Fax Number:
814-372-2613
Provider Enumeration Date:
04/06/2011