Provider First Line Business Practice Location Address:
EVANSVILLE VA OUTPATIENT CLINIC
Provider Second Line Business Practice Location Address:
500 E. WALNUT
Provider Business Practice Location Address City Name:
EVANSVILLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-465-6202
Provider Business Practice Location Address Fax Number:
812-465-6201
Provider Enumeration Date:
09/27/2006