NPI | 1992901243 |
---|---|
Doing Business As | USADC FT. LEWIS 3 |
Entity Type | Organization |
Authorized Contact | KAREN MADY Tpc Manager 253-968-6598 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Enumeration Date | 2007-06-25 |
Last Update Date | 2015-04-13 |