Provider First Line Business Practice Location Address:
WALTER REED NATIONAL MILITARY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
4975 PALMER ROAD, BLDG 85T, 1ST FLOOR
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20852-3154
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-423-3500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/04/2006