| NPI | 1346455391 |
|---|---|
| Doing Business As | AHC YUMA PROVING GROUND |
| Entity Type | Organization |
| Authorized Contact | DERRECK SUMMERS C, Pad 760-380-3392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2015-04-07 |