USA Meddac, Rwbahc
NPI #1356700801 in Fort Huachuca, Arizona
Provider Information
- NPI Number
- 1356700801
- Entity Type
- Organization
- Organization Name
- USA Meddac, Rwbahc
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Feb 12, 2016
- Last Updated
- Feb 12, 2016
Practice Location
- Address
- 2240 WINROW AVE
- City
- Fort Huachuca
- State
- Arizona
- ZIP Code
- 85613
- Phone
- (520) 533-9034
Authorized Official
- Name
- CRYSTAL QUINTANA, LPN
- Title
- LICENSED PRACTICAL NURSE
- Phone
- (520) 533-9034
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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