Provider First Line Business Practice Location Address:
MADIGAN ARMY MEDICAL CENTER 90390 GARDNER LOOP RD
Provider Second Line Business Practice Location Address:
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:
253-968-6478
Provider Business Practice Location Address Fax Number:
253-968-9054
Provider Enumeration Date:
09/17/2013