Provider First Line Business Practice Location Address:
4727 STATE ROUTE 60
Provider Second Line Business Practice Location Address:
DEVOLA MEDICAL CENTER
Provider Business Practice Location Address City Name:
MARIETTA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45750-5360
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-374-6789
Provider Business Practice Location Address Fax Number:
740-374-7022
Provider Enumeration Date:
02/13/2006