Provider First Line Business Practice Location Address:
MCHJ-P (PEDIATRICS)
Provider Second Line Business Practice Location Address:
MADIGAN ARMY MEDICAL CENTER
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431-1100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-1980
Provider Business Practice Location Address Fax Number:
253-968-0384
Provider Enumeration Date:
03/10/2006