| NPI | 1215130703 |
|---|---|
| Doing Business As | USADC FT. CARSON LARSON |
| 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 | 2014-07-30 |