NPI | 1598966848 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE A GUY Idc 360-315-4363 |
Organization Subpart ? | No |
Primary Taxonomy | 1710I1003X Military Health Care Provider, Independent Duty Medical Technicians |
Enumeration Date | 2007-05-31 |
Last Update Date | 2020-08-22 |