Guthrie Ahc

NPI #1164637112 in Fort Drum, New York

Provider Information

NPI Number
1164637112
Entity Type
Organization
Organization Name
Guthrie Ahc
Subpart
Yes (part of a larger organization)
Parent Organization
GUTHRIE AHC
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
May 13, 2007
Last Updated
Mar 23, 2015

Practice Location

Address
10205 N RIVA RIDGE LOOP
Address 2
SUITE P36
ZIP Code
13602-5457
Phone
(315) 772-2778

Authorized Official

Name
NANCY DRAPER
Title
ACTING UBO MANAGER
Phone
(315) 772-1755

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient

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