| NPI | 1760673784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA STEWART-KUHN Chief, Health Services Division 251-441-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |