Provider First Line Business Practice Location Address:
GENERAL SURGERY CLINIC
Provider Second Line Business Practice Location Address:
USA MEDDAC EVANS ARMY COMMUNITY HOSPITAL
Provider Business Practice Location Address City Name:
FORT CARSON
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80913-4604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-559-9288
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/07/2006