Provider First Line Business Practice Location Address:
600 RUGH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601-5630
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-221-6500
Provider Business Practice Location Address Fax Number:
724-221-6502
Provider Enumeration Date:
01/24/2018