Provider First Line Business Practice Location Address:
100 MEDICAL CENTER WAY
Provider Second Line Business Practice Location Address:
SPRINGFIELD REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-523-1401
Provider Business Practice Location Address Fax Number:
937-523-1950
Provider Enumeration Date:
04/12/2006