Provider First Line Business Practice Location Address:
BASSETT ARMY COMMUNITY HOSPITAL
Provider Second Line Business Practice Location Address:
4076 NEELY ROAD; BLDG 4076; ROOM 1B-201
Provider Business Practice Location Address City Name:
FORT WAINWRIGHT
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-384-2730
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/06/2012