Provider First Line Business Practice Location Address:
DEPT OF FAMILY MEDICINE
Provider Second Line Business Practice Location Address:
MADIGAN ARMY MED CTR
Provider Business Practice Location Address City Name:
FT LEWIS
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-966-7592
Provider Business Practice Location Address Fax Number:
253-966-7653
Provider Enumeration Date:
12/11/2006