Provider First Line Business Practice Location Address:
1001 GEORGES STATION RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601-6982
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-830-6260
Provider Business Practice Location Address Fax Number:
724-830-6268
Provider Enumeration Date:
05/27/2009