Provider First Line Business Practice Location Address:
701 HOSPITAL LOOP
Provider Second Line Business Practice Location Address:
FHC
Provider Business Practice Location Address City Name:
FAIRCHILD AIR FORCE BASE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99011-8704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-247-5661
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/26/2005