Provider First Line Business Practice Location Address:
20050 W INDIAN SCHOOL RD
Provider Second Line Business Practice Location Address:
HEALTH OFFICE
Provider Business Practice Location Address City Name:
BUCKEYE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85396-7201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-932-7400
Provider Business Practice Location Address Fax Number:
623-932-7404
Provider Enumeration Date:
09/05/2008