Provider First Line Business Practice Location Address:
WALTER REED ARMY MEDICAL CENTER, DEPT. OF PEDIATRI
Provider Second Line Business Practice Location Address:
6900 GEORGIA AVENUE
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20307-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-782-6107
Provider Business Practice Location Address Fax Number:
202-782-9364
Provider Enumeration Date:
06/14/2006