Provider First Line Business Practice Location Address:
GANERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Provider Second Line Business Practice Location Address:
4430 MISSOURI AVE; MEDDAC CASE MANAGEMENT; PRIMARY CARE
Provider Business Practice Location Address City Name:
FORT LEONARD WOOD
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65473
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-596-0540
Provider Business Practice Location Address Fax Number:
573-596-5342
Provider Enumeration Date:
09/13/2017