Madigan Army Medical Center.
NPI #1619038957 in Ft. Lewis, Washington
Provider Information
- NPI Number
- 1619038957
- Entity Type
- Organization
- Organization Name
- Madigan Army Medical Center.
- Primary Specialty
- Clinic/Center - Military Ambulatory Procedure Visits Operational (Transportable)
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- BLDG 11582
- Address 2
- 17TH & C STREET
- City
- Ft. Lewis
- State
- Washington
- ZIP Code
- 98433-1100
- Phone
- (253) 966-7594
Authorized Official
- Name
- MR. GAIL REID GALLOWAY, PA-C
- Title
- PHYSICIANS ASSISTANT
- Phone
- (253) 967-7594
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military Ambulatory Procedure Visits Operational (Transportable) — Military Ambulatory Procedure Visits Operational (Transportable) |
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| DR. Stanley Aaron Bloustine, M.D. | |
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Organizations
| Provider Name | |
|---|---|
| United States Navy | |
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