| NPI | 1801824958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN A GUNKLE Independent Duty Corpsman 757-953-8739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1101X Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-08-07 |