Provider First Line Business Practice Location Address:
WOOD PCMH (CP WALKER)
Provider Second Line Business Practice Location Address:
BLDG #226
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96218
Provider Business Practice Location Address Country Code:
KR
Provider Business Practice Location Address Telephone Number:
315-737-4980
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/19/2022