NPI 1437502325

Department of Defense

Organisation Military/U.S. Coast Guard Outpatient Clinic/Center Apo, AA

Practice location

Address: 11050 Mount Belvedere Blvd, Apo, AA 13602-5438
Phone: (315) 772-2778
Mailing address: 11050 Mt Bevledere Blvd., Apo, AA 13602

Authorised official

Name: Kenneth Arie
Title: Credentials Manager
Phone: (315) 772-6214

Registered specialties

Military/U.S. Coast Guard Outpatient Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1100X Licence 1053724807 (NY)

Other Clinic/Center providers in Armed Forces Americas →

Registry record

NPI: 1437502325
Entity type: Organization
NPI issued: 15 Jul 2016
Record last updated: 15 Jul 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.