| NPI | 1053681957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN R SCHAIDLE RN/ Nurse Practitioner 0637-186-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: NY 30305740) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |