Provider First Line Business Practice Location Address:
1403 29 STREET NW
Provider Second Line Business Practice Location Address:
FOOTHILLS MEDICAL CENTER
Provider Business Practice Location Address City Name:
CALGARY
Provider Business Practice Location Address State Name:
AB
Provider Business Practice Location Address Postal Code:
T2N 2T9
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
313-622-2402
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/14/2010