Provider First Line Business Practice Location Address:
PROSPECT MIRA 26/6
Provider Second Line Business Practice Location Address:
AMERICAN MEDICAL CENTER
Provider Business Practice Location Address City Name:
MOSCOW
Provider Business Practice Location Address State Name:
MOSCOW OBLAST
Provider Business Practice Location Address Postal Code:
129090
Provider Business Practice Location Address Country Code:
RU
Provider Business Practice Location Address Telephone Number:
70959337700
Provider Business Practice Location Address Fax Number:
9337702
Provider Enumeration Date:
10/26/2006