Provider First Line Business Practice Location Address:
WALTER REED NATIONAL MILITARY MEDICAL CENTER, OTS
Provider Second Line Business Practice Location Address:
8901 WISCONSIN AVENUE
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20889
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-295-4331
Provider Business Practice Location Address Fax Number:
301-400-1700
Provider Enumeration Date:
09/12/2006