| NPI | 1417007790 |
|---|---|
| Other Name | ISC PORTSMOUTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J CRISTY Chief, Health Services Division 757-483-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |