Provider First Line Business Practice Location Address:
NAVAL MEDICAL CTR
Provider Second Line Business Practice Location Address:
34800 BOB WILSON DRIVE
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92134-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-532-6827
Provider Business Practice Location Address Fax Number:
619-532-7508
Provider Enumeration Date:
06/03/2016