Provider First Line Business Practice Location Address:
BLDG 9040 FITZSIMMONS DR
Provider Second Line Business Practice Location Address:
MADIGAN ARMY MEDICAL CENTER
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-4651
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/05/2006