Provider First Line Business Practice Location Address:
MADIGAN ARMY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
BUILDING 9040
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:
253-964-0258
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2006