| NPI | 1750719761 |
|---|---|
| Doing Business As | PREVENTIVE MEDICINE-JBLM |
| Entity Type | Organization |
| Authorized Contact | KAREN MADY Tpc Manager 253-968-6598 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2015-04-13 |