Provider First Line Business Practice Location Address:
AKDHC, LLC, C/O BUCKEYE MEDICAL CENTER
Provider Second Line Business Practice Location Address:
213 E MONROE AVENUE
Provider Business Practice Location Address City Name:
BUCKEYE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85326-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-536-1185
Provider Business Practice Location Address Fax Number:
623-536-1091
Provider Enumeration Date:
11/30/2009