Provider First Line Business Practice Location Address:
600 CAISSON HILL ROAD ATTN: MCXX-CLD-QM (CREDENTIALS)
Provider Second Line Business Practice Location Address:
IRWIN ARMY COMMUNITY HOSPITAL ATTN: MRS TERRY L. HILL
Provider Business Practice Location Address City Name:
FORT RILEY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66442-5037
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-239-7155
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/03/2006