NPI | 1023550274 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM M CONDON Bumed Ubo 240-401-3643 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Enumeration Date | 2016-11-04 |
Last Update Date | 2018-05-25 |