Provider First Line Business Practice Location Address:
MADIGAN ARMY MEDICAL CENTER ATTN: MCHJ-EDME
Provider Second Line Business Practice Location Address:
9040 REID STREET
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431-1100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-651-6470
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/14/2007