Provider First Line Business Practice Location Address:
337 SOMERSET ST
Provider Second Line Business Practice Location Address:
JOHN P. MURTHA PAVILION
Provider Business Practice Location Address City Name:
JOHNSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15901-2541
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-534-4724
Provider Business Practice Location Address Fax Number:
814-536-5135
Provider Enumeration Date:
03/24/2011