Provider First Line Business Practice Location Address:
34520 BOB WILSON DRIVE
Provider Second Line Business Practice Location Address:
NAVAL MEDICAL CENTER OPHTHALMOLOGY SUITE 202
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-532-6719
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/22/2006