Provider First Line Business Practice Location Address:
6247 CLEARFIELD WOODLAND HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLEARFIELD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16830
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-765-8301
Provider Business Practice Location Address Fax Number:
814-768-4735
Provider Enumeration Date:
11/22/2006