Provider First Line Business Practice Location Address:
82ND MEDICAL GROUP (AETC) PAS: SQ0JFB5D
Provider Second Line Business Practice Location Address:
SHEPPARD AFB
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AA
Provider Business Practice Location Address Postal Code:
76311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-565-0645
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/24/2010