Provider First Line Business Practice Location Address:
690 BARNES ROAD
Provider Second Line Business Practice Location Address:
MCCHORD MEDICAL CLINIC FAM MED CLINIC
Provider Business Practice Location Address City Name:
JOINT BASE LEWIS MCCHORD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98438
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-982-9917
Provider Business Practice Location Address Fax Number:
253-982-2339
Provider Enumeration Date:
02/02/2007