NPI | 1912068891 |
---|---|
Other Name | USAHSF PEDIATRICS SPECIALTY |
Entity Type | Organization |
Authorized Contact | BECKY S. TATE Chief Executive Officer 251-470-5842 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-12-13 |
Last Update Date | 2013-12-11 |