Provider First Line Business Practice Location Address:
TELLER CLINIC
Provider Second Line Business Practice Location Address:
MAIN ST
Provider Business Practice Location Address City Name:
TELLER
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99778
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-443-3311
Provider Business Practice Location Address Fax Number:
907-443-6412
Provider Enumeration Date:
04/02/2007