Provider First Line Business Practice Location Address:
200 WEST WHITERIVER
Provider Second Line Business Practice Location Address:
USPHS INDIAN HOSPITAL
Provider Business Practice Location Address City Name:
WHITRIVER
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85941
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-338-3503
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/11/2013