Provider First Line Business Practice Location Address:
MEDICAL ARTS BUILDING, 3708 FIFTH AVENUE
Provider Second Line Business Practice Location Address:
SUITE 501
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-543-6268
Provider Business Practice Location Address Fax Number:
916-543-6529
Provider Enumeration Date:
03/19/2019