NPI | 1558907873 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA FITZGERALD Health Syst EMS Specialist 757-628-4363 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Enumeration Date | 2019-11-21 |
Last Update Date | 2019-11-21 |