Provider First Line Business Practice Location Address:
DEPARTMENT OF THE ARMY,MARY WALKER CLINIC,BLD 170
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT IRWIN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-380-7396
Provider Business Practice Location Address Fax Number:
760-380-4409
Provider Enumeration Date:
04/10/2006