NPI 1265709240
Usameddac-K,fhp,ohs
Practice location
- Address
- 629th Medical Company Unit # 15342, Apo, AP 96258-5342
- Phone
- (315) 732-7396
Authorised official
- Name
- Kyoung S Boltuc
- Title
- Occupational Health Nurse
- Phone
- (315) 732-7396
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1265709240
- Entity type
- Organization
- NPI issued
- 19 Nov 2011
- Record last updated
- 19 Nov 2011
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.