Provider First Line Business Practice Location Address:
9040A FITZSIMMONS DR
Provider Second Line Business Practice Location Address:
GENERAL SURGERY
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431-4499
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-2200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/08/2006