Provider First Line Business Practice Location Address:
WALTER REED ARMY MEDICAL CENTER UROLOGY
Provider Second Line Business Practice Location Address:
6900 GEORGIA AVE, BLDG 2, 4TH FL
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20307-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-782-6406
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/24/2007