NPI | 1770517658 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM M CONDON Bumed Ubo 240-401-3643 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Enumeration Date | 2006-07-10 |
Last Update Date | 2017-11-14 |