| NPI | 1427264142 |
|---|---|
| Doing Business As | TMC 9-FT. CARSON DIRAIMONDO FMC |
| 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 |
| Additional Taxonomies | 332000000X MilitaryU.S. Coast Guard Pharmacy |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2015-05-08 |