US Coast Guard Medical
NPI #1093859076 in King George, Virginia
Provider Information
- NPI Number
- 1093859076
- Entity Type
- Organization
- Organization Name
- US Coast Guard Medical
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Feb 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1220 WINFIELD CT
- City
- King George
- State
- Virginia
- ZIP Code
- 22485-6771
- Phone
- (540) 775-7834
Authorized Official
- Name
- VIKKI DENISE VILLOCH
- Title
- HEALTH SERVICE TECHNICIAN
- Phone
- (202) 372-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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