Provider First Line Business Practice Location Address:
FORT DEFIANCE HOSPITAL
Provider Second Line Business Practice Location Address:
FORT DEFIANCE INDIAN HOSPITAL
Provider Business Practice Location Address City Name:
FORT DEFIANCE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86504-3166
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-665-5890
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/19/2020