Provider First Line Business Practice Location Address:
4700 LAS VEGAS BLVD N MADIGAN ARMY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431-6600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-653-2273
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2006