Provider First Line Business Practice Location Address:
ROCK ISLAND ARSENAL HEALTH CLINIC, (RIAHC)
Provider Second Line Business Practice Location Address:
ATTN: MCXM-DMC, BUILDING 110
Provider Business Practice Location Address City Name:
ROCK ISLAND ARSENAL
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61299-7240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
309-782-0805
Provider Business Practice Location Address Fax Number:
309-782-0810
Provider Enumeration Date:
08/26/2005