Provider First Line Business Practice Location Address:
424 FRYE FARM RD
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:
15601-6480
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-537-2600
Provider Business Practice Location Address Fax Number:
724-537-6530
Provider Enumeration Date:
03/06/2006