| NPI | 1679540900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DOUGLAS EATON Air Force Uniform Business Office P 703-681-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2020-08-22 |