Provider First Line Business Practice Location Address:
121ST MEDDAC, BRIAN ALLGOOD COMMUNITY HOSPITAL
Provider Second Line Business Practice Location Address:
BOX 484
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
95205-0025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
82279175508
Provider Business Practice Location Address Fax Number:
82279175029
Provider Enumeration Date:
01/24/2006