Provider First Line Business Practice Location Address:
DEPARTMENT OF ARMY, USAMEDDAC
Provider Second Line Business Practice Location Address:
ATTN: MCUA-CMH
Provider Business Practice Location Address City Name:
FT. SILL
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73503-6300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-442-4833
Provider Business Practice Location Address Fax Number:
580-442-7604
Provider Enumeration Date:
10/03/2006