Provider First Line Business Practice Location Address:
650 E INDIAN SCHOOL ROAD
Provider Second Line Business Practice Location Address:
CARL 7 HAYDEN-VETERANS AFFAIRS MEDICAL CENTER
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-277-5551
Provider Business Practice Location Address Fax Number:
602-200-6039
Provider Enumeration Date:
10/16/2006