| NPI | 1497270342 |
|---|---|
| Doing Business As | GOURLEY VA DOD CLINIC |
| Entity Type | Organization |
| Authorized Contact | TRINA WILLIAMS Budget Analyst 831-242-7225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |