Provider First Line Business Practice Location Address:
4076 NEELY RD, BASSETT ARMY COMMUNITY HOSPITAL
Provider Second Line Business Practice Location Address:
USA MEDDAC-AK ATTN: MCUC-MMD-QM (CREDENTIALS)
Provider Business Practice Location Address City Name:
FORT WAINWRIGHT
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99703-7440
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-483-9293
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/17/2019