Provider First Line Business Practice Location Address:
307 MCCLELLANDTOWN RD
Provider Second Line Business Practice Location Address:
STE B
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-5046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-438-9100
Provider Business Practice Location Address Fax Number:
724-438-9329
Provider Enumeration Date:
04/08/2008