Provider First Line Business Practice Location Address:
35TH MEDICAL GROUP - MISAWA AIR BASE
Provider Second Line Business Practice Location Address:
UNIT 5024, BUILDING 99
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-960-9065
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/14/2012