Provider First Line Business Practice Location Address:
WILLIAM BEAUMONT ARMY MEDICAL CENTER, PLASTIC SURGERY C
Provider Second Line Business Practice Location Address:
18511 HIGHLANDER MEDICS ST.
Provider Business Practice Location Address City Name:
FORT BLISS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-388-2790
Provider Business Practice Location Address Fax Number:
915-569-0725
Provider Enumeration Date:
11/28/2007