Provider First Line Business Practice Location Address:
KISTER AVE, BUILDING 5166
Provider Second Line Business Practice Location Address:
U.S. ARMY HEALTH CLINIC
Provider Business Practice Location Address City Name:
DUGWAY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
435-831-2027
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/05/2007