Provider First Line Business Practice Location Address:
9501 FARRELL RD
Provider Second Line Business Practice Location Address:
INTERNAL MED., DEWITT ARMY HOSPITAL,,
Provider Business Practice Location Address City Name:
FORT BELVOIR
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22060-5901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-805-0329
Provider Business Practice Location Address Fax Number:
703-805-9979
Provider Enumeration Date:
12/28/2005