Provider First Line Business Practice Location Address:
EVANS ARMY COMMUNITY NHOSPITAL (EACH) USA MEDDAC
Provider Second Line Business Practice Location Address:
GENERAL SURGERY CLINIC
Provider Business Practice Location Address City Name:
FORT CARSON
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80913-4604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-524-4166
Provider Business Practice Location Address Fax Number:
719-524-4259
Provider Enumeration Date:
03/31/2006