Provider First Line Business Practice Location Address:
NAVAL MEDICAL CENTER DEPT OF SURGERY
Provider Second Line Business Practice Location Address:
34730 BOB WILSON DR., BLDG 3, 4TH FLOOR
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92134-3400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-532-7006
Provider Business Practice Location Address Fax Number:
619-532-7673
Provider Enumeration Date:
07/12/2005