Provider First Line Business Practice Location Address:
12033 AGENCY ROAD
Provider Second Line Business Practice Location Address:
PARKER INDIAN HEALTHCARE CENTER
Provider Business Practice Location Address City Name:
PARKER
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-669-3130
Provider Business Practice Location Address Fax Number:
928-669-3131
Provider Enumeration Date:
12/07/2009