Provider First Line Business Practice Location Address:
1060 GAFFNEY RD
Provider Second Line Business Practice Location Address:
BASSETT ARMY COMMUNITY HOSPITAL
Provider Business Practice Location Address City Name:
FORT WAINWRIGHT
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99703-5001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-361-5200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2006