Provider First Line Business Practice Location Address:
TRIPLER AMC
Provider Second Line Business Practice Location Address:
ATTN: MCHK-DR
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96859-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-433-6393
Provider Business Practice Location Address Fax Number:
808-433-4688
Provider Enumeration Date:
11/09/2005