Provider First Line Business Practice Location Address:
USA MEDDAC, RWBAHC
Provider Second Line Business Practice Location Address:
2240 WINROW AVE
Provider Business Practice Location Address City Name:
FORT HUACHUCA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85650-7079
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-533-9162
Provider Business Practice Location Address Fax Number:
520-533-5328
Provider Enumeration Date:
02/23/2016