United States Coast Guard
NPI #1114089588 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1114089588
- Entity Type
- Organization
- Organization Name
- United States Coast Guard
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Dec 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4000 COAST GUARD BLVD
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23703-2135
- Phone
- (757) 483-5896
Authorized Official
- Name
- ANDREA LEIGH SIVER
- Title
- HEALTH SERVICES TECHNICIAN
- Phone
- (757) 483-8596
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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