Provider First Line Business Practice Location Address:
3RD MEDICAL GROUP, ELMENDORF REGIONAL MEDICAL CENTER
Provider Second Line Business Practice Location Address:
5955 ZEAMER AVE
Provider Business Practice Location Address City Name:
ELMENDORF AFB
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99506-3700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-580-2956
Provider Business Practice Location Address Fax Number:
907-580-2308
Provider Enumeration Date:
10/17/2005