Provider First Line Business Practice Location Address:
WALTER REED NATIONAL MILITARY CTR
Provider Second Line Business Practice Location Address:
ATTN: OPHTHALMOLOGY CLINIC, 8901 ROCKVILLE PIKE
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20889-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-319-4342
Provider Business Practice Location Address Fax Number:
301-295-1481
Provider Enumeration Date:
01/17/2006