Provider First Line Business Practice Location Address:
125 BUCKLEY RD
Provider Second Line Business Practice Location Address:
DONALD J. MITCHELL VA CLINIC
Provider Business Practice Location Address City Name:
ROME
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13440
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-334-7120
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2006