Provider First Line Business Practice Location Address:
1425 PORTER ST.
Provider Second Line Business Practice Location Address:
U.S. ARMY MEDICAL RESEARCH INSTITUTE OF INFECTIUOS DISE
Provider Business Practice Location Address City Name:
FORT DETRICK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21702-5011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-619-6050
Provider Business Practice Location Address Fax Number:
301-619-4505
Provider Enumeration Date:
12/27/2005