Usa Meddac-j

NPI 1508174434 - Clinic/Center - 261QA0005X

NPI Details
NPI 1508174434
Enumeration Date 09/14/2010
Last Updated 09/14/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GARY LEE GARY
Position SUPERVISOR, CLINICAL NURSE
Phone (315) 263-7164
Fax
Practice Location
USAG-J, BOX 3257
APO AP, 96338-3257, US
Phone (315) 263-7164
Fax
Business Location
UNIT 45011
APO AP, 96338-5011, US
Phone (315) 263-4127
Fax
Toxanomy
Taxonomy Code 261QA0005X
License State South Dakota
License Number R017398
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According to our database, Usa Meddac-j NPI is 1508174434, taxonomy code is 261QA0005X and license number is R017398, license state is located at South Dakota. Usa Meddac-j physically located at Usag-j, Box 3257, Apo AP, 96338-3257. NPI Number 1033115704 has the healthcare provider type.

1508174434 NPI number is provided on an as is basis without warranty of any kind. 1508174434 is maintained by the National Plan & Provider Enumeration System. The contents of Usa Meddac-j are for informational purposes only.