Provider First Line Business Practice Location Address:
5040 STATE ROAD 67 NORTH
Provider Second Line Business Practice Location Address:
BRADFORD WOODS HEALTH CENTER
Provider Business Practice Location Address City Name:
MARTINSVILLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46151
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-703-0776
Provider Business Practice Location Address Fax Number:
765-349-1086
Provider Enumeration Date:
07/05/2013