| NPI | 1902179898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E KAMINSKY Battalion Surgeon 910-440-7712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1710I1002X Military Health Care Provider Independent Duty Corpsman |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-09-20 |