Provider First Line Business Practice Location Address:
56TH MEDICAL GROUP
Provider Second Line Business Practice Location Address:
7219 N LITCHFIELD RD
Provider Business Practice Location Address City Name:
LUKE AFB
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-428-6334
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/21/2017