Provider First Line Business Practice Location Address:
BOMC ATTN HOSPITALISTS
Provider Second Line Business Practice Location Address:
1405 S. ALMA SCHOOL RD
Provider Business Practice Location Address City Name:
CHANDLER
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85286
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-256-7420
Provider Business Practice Location Address Fax Number:
480-646-3826
Provider Enumeration Date:
09/30/2005