Provider First Line Business Practice Location Address:
DEPT. OF THE ARMY: USAMEDDAC
Provider Second Line Business Practice Location Address:
ATTN: MCUA-CMH ATTN DEBRA JOHNSON
Provider Business Practice Location Address City Name:
FT SILL
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73503-6300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-442-4351
Provider Business Practice Location Address Fax Number:
580-442-7400
Provider Enumeration Date:
11/02/2006