Provider First Line Business Practice Location Address:
5236 VALDEZ CIRCLE, BUILDING 5236
Provider Second Line Business Practice Location Address:
US ARMY HEALTH CLINIC - DUGWAY PROVING GROUND
Provider Business Practice Location Address City Name:
DUGWAY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
435-831-2941
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/21/2006