INTERMOUNTAIN MEDICAL GROUP, INC
Medical Laboratory at Wyoming Ave, Wilkes Barre, PA

License number
Pennsylvania 000495
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: DR. ROBERT CZWALINA D.O.
Title: LABORATORY DIRECTOR
Phone: (570) 288-5441
Address
Address
610 Wyoming Ave, Wilkes Barre, PA 18704
National Provider ID: 1932271624
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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