Provider First Line Business Practice Location Address: 
BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL
    Provider Second Line Business Practice Location Address: 
BLDG. 3030, BLDG. 3031, INDIANHEAD AVE
    Provider Business Practice Location Address City Name: 
APO
    Provider Business Practice Location Address State Name: 
AP
    Provider Business Practice Location Address Postal Code: 
96271
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
315-737-1151
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
04/01/2016