Provider First Line Business Practice Location Address:
4TH ST. AND G AVENUE, WEED ARMY COMMUNITY HOSPITAL
Provider Second Line Business Practice Location Address:
BUILDING 166, ROOM 414, ATTN: CREDENTIALS OFFICE
Provider Business Practice Location Address City Name:
FORT IRWIN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92310-5109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-380-6293
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/09/2008