Provider First Line Business Practice Location Address:
JOINT BASE ELMENDORF-RICHARDSON HOSPITAL
Provider Second Line Business Practice Location Address:
5955 ZEAMER AVE,
Provider Business Practice Location Address City Name:
ANCHORAGE
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-563-5160
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/19/2017