NPI | 1588638167 |
---|---|
Doing Business As | 15TH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | THERESA MARIE MITCHELL Air Force Ubo Analyst 703-681-7613 |
Organization Subpart ? | No |
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 | 2014-03-07 |