| NPI | 1851605539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL BATUCAN CAPUYAN Provider/Idependent Duty Corpsman 01181803-582-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |