Provider First Line Business Practice Location Address:
BASSETT ARMY COMMUNITY HOSPITAL 4076 NEELY ROAD
Provider Second Line Business Practice Location Address:
ROOM 1B-201
Provider Business Practice Location Address City Name:
FORT WAINWRIGHT
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-353-1431
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/18/2018