NPI | 1124221619 |
---|---|
Doing Business As | USADC FT. CARSON 1 |
Entity Type | Organization |
Authorized Contact | ELIZABETH BURLINGAME Ubo Manager 719-526-7291 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Enumeration Date | 2007-06-11 |
Last Update Date | 2023-07-25 |