| NPI | 1891982518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO-EL ONSTAD Hq Medcom Ubo 210-221-8567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2014-02-27 |