Provider First Line Business Practice Location Address:
VETERANS AFFAIRS MEDICAL CENTER (126)
Provider Second Line Business Practice Location Address:
3200 VINE STREET
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-475-6305
Provider Business Practice Location Address Fax Number:
513-487-6657
Provider Enumeration Date:
06/15/2006