Provider First Line Business Practice Location Address:
61 MCMURRAY RD
Provider Second Line Business Practice Location Address:
SUITE 100A
Provider Business Practice Location Address City Name:
UPPER ST CLAIR
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15241-1633
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-831-9910
Provider Business Practice Location Address Fax Number:
412-831-9962
Provider Enumeration Date:
03/15/2013