Provider First Line Business Practice Location Address:
2 WALTER REED AMC DEPARTMENT
Provider Second Line Business Practice Location Address:
6900 GEORGIA AVENUE, NW
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20307-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-782-1017
Provider Business Practice Location Address Fax Number:
202-782-3217
Provider Enumeration Date:
01/11/2007