Provider First Line Business Practice Location Address:
DEPT OF MEDICINE, WALTER REED ARMY MED CTR
Provider Second Line Business Practice Location Address:
6900 GEORGIA AVE
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20307-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-782-1663
Provider Business Practice Location Address Fax Number:
202-782-3765
Provider Enumeration Date:
11/22/2005