Provider First Line Business Practice Location Address:
3601 S 6TH AVENUE
Provider Second Line Business Practice Location Address:
TUCSON VAMC, 05-121
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
58723-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-792-1450
Provider Business Practice Location Address Fax Number:
520-629-1877
Provider Enumeration Date:
11/11/2008