Provider First Line Business Practice Location Address:
GENERAL FORT LEONARD WOOD COMMUNITY HOSPITAL
Provider Second Line Business Practice Location Address:
4234 ILLINOIS AVENUE
Provider Business Practice Location Address City Name:
FT. LEONARD WOOD
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65473-9098
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-314-0351
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/12/2007