Provider First Line Business Practice Location Address:
MADIGAN ARMY MEDICAL CENTER, 9040 REID ST.
Provider Second Line Business Practice Location Address:
ATTN:MCHJ-QCR
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-6546
Provider Business Practice Location Address Fax Number:
253-968-5602
Provider Enumeration Date:
02/15/2006