Provider First Line Business Practice Location Address:
MADIGAN ARMY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
FT LEWIS ATTN: DOAOS
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-1706
Provider Business Practice Location Address Fax Number:
253-968-5034
Provider Enumeration Date:
10/27/2006