NPI 1124476833

Madigan Army Medical Center

Organisation Clinic/Center Apo, AA

Practice location

Address: 9040 Jackson Avenue, Apo, AA 98431
Phone: (253) 968-0758

Authorised official

Name: Angel M. Thompson
Title: Credentials Technician
Phone: (253) 968-0758

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence RN60164202 (WA)

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Registry record

NPI: 1124476833
Entity type: Organization
NPI issued: 3 Jun 2016
Record last updated: 3 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.