U. S. Coast Guard
NPI #1659359131 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1659359131
- Entity Type
- Organization
- Organization Name
- U. S. Coast Guard
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Jan 5, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4000 COAST GUARD BLVD
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23703-2135
- Phone
- (757) 483-8597
Authorized Official
- Name
- CHARLES PATTERSON WEISS II, PREVENTIVE MED TECH
- Title
- HEALTH SERVICES TECHNICIAN
- Phone
- (757) 483-8597
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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