Organization · NPI-2
18th Medcom
Clinic/Center, Occupational Medicine · Apo, AP
NPI number1295724409
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1295724409
- Entity type
- Organization (NPI-2)
- Legal business name
- 18th Medcom
- Organization subpart
- No
- Enumeration date
- Oct 19, 2005
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QX0100X | Clinic/Center, Occupational Medicine | 524305 | CA | Yes |
Practice location
18th Medcom Unit # 15281Apo, AP 96205-0054
Korea, Republic of
Phone 315-736-3025 · Fax 315-736-3028
Mailing address
121st General Hospital Box 539Apo, AP 96205-0017
Korea, Republic of
Authorized official
Han Yi Woo
Occupational Health Nursing Supervi
3157367565
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