US Army Health Clinic

NPI #1497702591 in Dugway, Utah

Provider Information

NPI Number: 1497702591
Entity Type: Organization
Organization Name: US Army Health Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: EVANS ARMY COMMUNITY HOSPITAL
Primary Specialty: Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date: May 27, 2006
Last Updated: Nov 17, 2015

Practice Location

Address: 5116 KISTER AVE
Address 2: RM #119
City: Dugway
State: Utah
ZIP Code: 84022-1097
Phone: (435) 831-3313

Authorized Official

Name: ELIZABETH BURLINGAME
Title: UBO MANAGER
Phone: (719) 526-7291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient	261QM1100X	Primary

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Organizations

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