Provider First Line Business Practice Location Address:
3200 JOHNSON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STEUBENVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43952-2363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-264-7751
Provider Business Practice Location Address Fax Number:
740-264-2422
Provider Enumeration Date:
04/30/2012