Provider First Line Business Practice Location Address:
BG SAMS ARMY HEALTH CLINIC, USAMEDDAC-JAPAN
Provider Second Line Business Practice Location Address:
BLDG 704 UNIT 45011
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-263-5050
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/12/2017