Provider First Line Business Practice Location Address:
VETERAN ADM MEDICAL CENTER
Provider Second Line Business Practice Location Address:
MEDICAL SERVICE
Provider Business Practice Location Address City Name:
ALEXANDRIA
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-473-0010
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/05/2006