Provider First Line Business Practice Location Address:
COMMANDER, MADIGAN ARMY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
ATTN: MCHJ-EM
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-0596
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/27/2006