Provider First Line Business Practice Location Address:
70 WEST HONEYCREEK PARKWAY
Provider Second Line Business Practice Location Address:
TERRE HAUTE VA EAST CLINIC
Provider Business Practice Location Address City Name:
TERRE HAUTE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-232-8325
Provider Business Practice Location Address Fax Number:
812-232-8717
Provider Enumeration Date:
08/03/2005