US Medicine

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* Email
* Title
* First Name
* Last Name
* Address 1
Address 2
* City
* State
* Zip
Routing Code
* Agency Department of Veterans Affairs
Air Force
Indian Health Service
Bureau of Prisons
U.S. Coast Guard
Other U.S. Public Health Service
Other Government Agency
Other Non-Government Agency
* Specialty Physician/DO
Physician Assistant
Nurse Practitioner
Other Medical
Other Non-Medical
  * = Required Field
2012 Directory of Federal Medical Treatment Facilities