NPI | 1760673032 |
---|---|
Other Name | U.S. COAST GUARD ACADEMY CLINIC |
Entity Type | Organization |
Authorized Contact | SCHON RUSSELL Chief 860-701-6736 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Enumeration Date | 2007-08-05 |
Last Update Date | 2007-08-05 |