Organization · NPI-2

D Co 168th Med Bn Box 36b Apo Ap 96218

Clinic/Center, Military Outpatient Operational (Transportable) Component · Apo, AP

NPI number1891853743
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1891853743
Entity type
Organization (NPI-2)
Legal business name
D Co 168th Med Bn Box 36b Apo Ap 96218
Organization subpart
No
Enumeration date
Dec 4, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1102X Clinic/Center, Military Outpatient Operational (Transportable) Component––Yes

Practice location

D Co 168th Med Bn Unit 15021 Box 36b
Apo, AP 96218
Korea, Republic of

Phone 314-764-5272

Mailing address

D Co 168th Med Bn Unit 15021
Apo, AP 96218
Korea, Republic of

Authorized official

Dejuana L. Riat
Physician Assistant
1347375272

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