NPI | 1588638167 |
---|---|
Doing Business As | 15TH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | JEN LEWANDOWSKI Defense Health Agency (Dha) Financi 703-817-4030 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Additional Taxonomies | 261QM1101X Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure |
332000000X MilitaryU.S. Coast Guard Pharmacy | |
Enumeration Date | 2006-02-13 |
Last Update Date | 2025-06-17 |