Provider First Line Business Practice Location Address:
1 JARRETT WHITE BLVD
Provider Second Line Business Practice Location Address:
TRIPLER ARMY MEDICAL CENTER
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96855
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-433-6601
Provider Business Practice Location Address Fax Number:
808-433-3372
Provider Enumeration Date:
11/02/2005