Provider First Line Business Practice Location Address:
3225 POCAHONTAS RD
Provider Second Line Business Practice Location Address:
ST. ELIZABETH HEALTH SERVICES
Provider Business Practice Location Address City Name:
BAKER CITY
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-523-8813
Provider Business Practice Location Address Fax Number:
541-523-1709
Provider Enumeration Date:
01/07/2009