| NPI | 1578871414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEC EDWARD ROSS Physician Assistant 731-336-5189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2865M2000X Military Hospital, Military General Acute Care Hospital |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |