| NPI | 1114133923 |
|---|---|
| Doing Business As | USA OCCUP HLTH CLIN-GOODFELLOW |
| Entity Type | Organization |
| Authorized Contact | NANCY LAMBERT Ubo Manager 573-596-0494 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2014-04-18 |