| NPI | 1063617447 |
|---|---|
| Doing Business As | USADC FT. LEAVENWORTH DISC BKS |
| Entity Type | Organization |
| Authorized Contact | JOEL ONSTAD Hq Medcom Ubo 913-684-6726 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2012-12-14 |