Provider First Line Business Practice Location Address:
1033 MURDOCH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARKERSBURG
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26101-4330
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-588-5588
Provider Business Practice Location Address Fax Number:
304-485-3861
Provider Enumeration Date:
05/02/2007