Provider First Line Business Practice Location Address:
MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431-1000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-2781
Provider Business Practice Location Address Fax Number:
253-968-5295
Provider Enumeration Date:
10/16/2006