Provider First Line Business Practice Location Address:
MADIGAN MEDICAL CENTER
Provider Second Line Business Practice Location Address:
LINCOLN ST BLDG 9905
Provider Business Practice Location Address City Name:
FORT LEWIS
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-4169
Provider Business Practice Location Address Fax Number:
253-968-4249
Provider Enumeration Date:
02/24/2006