| NPI | 1306108394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN DAVIS Credentials Program Manager 637-186-8590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: MD R168308) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |