UNITED STATES NAVY

NPI # 

Practice Address:

3600 Rivers Ave

Charleston, WA, 29405

Practice Phone:

843-574-8242

License State:

TX

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Military Ambulatory Procedure Visits Operational (Transportable)

Taxonomy Code:

261QM1103X