| NPI | 1174560460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WILSON Pediatric Resident 1800-532-8225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: GA 055716) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2008-08-13 |