Provider First Line Business Practice Location Address:
62ND MED GROUP
Provider Second Line Business Practice Location Address:
690 BARNES AVE
Provider Business Practice Location Address City Name:
MCCHORD AFB
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98438
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-982-6330
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/21/2006