| NPI | 1497731590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN ESTEBAN PALACIO Chief Of Health Services 907-463-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2020-08-22 |