Provider First Line Business Practice Location Address:
MAMC, ATTN: MCHJ-SOU
Provider Second Line Business Practice Location Address:
OPHTHALMOLOGY SERVICE
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-1760
Provider Business Practice Location Address Fax Number:
253-968-1451
Provider Enumeration Date:
02/08/2006