Provider First Line Business Practice Location Address:
US ARMY MEDICAL DEPARTMENT ACTIVITY
Provider Second Line Business Practice Location Address:
UNIT 15244, APO, AP
Provider Business Practice Location Address City Name:
NA
Provider Business Practice Location Address State Name:
NA
Provider Business Practice Location Address Postal Code:
96205 5244
Provider Business Practice Location Address Country Code:
KR
Provider Business Practice Location Address Telephone Number:
315-737-6123
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/05/2010