Provider First Line Business Practice Location Address:
VETERANS AFFAIRS MEDICAL CENTER-PRIMARY CARE CLINIC
Provider Second Line Business Practice Location Address:
1601 KIRKWOOD HIGHWAY
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-633-5454
Provider Business Practice Location Address Fax Number:
302-633-5590
Provider Enumeration Date:
09/29/2006