Provider First Line Business Practice Location Address:
136 S PINE AVE
Provider Second Line Business Practice Location Address:
JOHN P MURTHA PAVILLION
Provider Business Practice Location Address City Name:
STOYSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15563-6002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-893-5568
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/22/2012