Provider First Line Business Practice Location Address:
200 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEYERSDALE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15552-1249
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-634-5911
Provider Business Practice Location Address Fax Number:
814-634-0435
Provider Enumeration Date:
06/17/2005