NPI | 1053517144 |
---|---|
Doing Business As | USADC CAMP LONG |
Entity Type | Organization |
Authorized Contact | CHONG MCCUE Ubo Manager 0118227-917-1857 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1100X Clinic/Center Military/U.S. Coast Guard Outpatient |
Enumeration Date | 2007-06-25 |
Last Update Date | 2014-04-21 |