Provider First Line Business Practice Location Address:
52ND MDG/SPANGDAHLEM CLINIC
Provider Second Line Business Practice Location Address:
BUILDING 550
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-452-8430
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/05/2006