U.s. Coast Guard Medical Clinic

NPI 1619143658 - Case Management - 251B00000X

NPI Details
NPI 1619143658
Enumeration Date 04/30/2008
Last Updated 04/30/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name CAROL CAROL
Position DOCTOR
Phone (907) 247-3510
Fax
Practice Location
1300 STEDMAN ST
KETCHIKAN AK, 99901-6661, US
Phone (907) 247-3510
Fax
Business Location
1300 STEDMAN ST
KETCHIKAN AK, 99901-6661, US
Phone (907) 247-3510
Fax
Toxanomy
Taxonomy Code 251B00000X
License State Alaska
License Number 3823
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According to our database, U.s. Coast Guard Medical Clinic NPI is 1619143658, taxonomy code is 251B00000X and license number is 3823, license state is located at Alaska. U.s. Coast Guard Medical Clinic physically located at 1300 Stedman St, Ketchikan AK, 99901-6661. NPI Number 1033115704 has the healthcare provider type.

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1619143658 NPI number is provided on an as is basis without warranty of any kind. 1619143658 is maintained by the National Plan & Provider Enumeration System. The contents of U.s. Coast Guard Medical Clinic are for informational purposes only.