| Usa Meddac, Rwbahc | |
|
2240 E Winrow Ave Usa Meddac, Rwbahc Ft. Huachuca AZ 85613 | |
| (520) 533-9034 | |
| (520) 533-5148 |
| Full Name | Usa Meddac, Rwbahc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2240 E Winrow Ave, Ft. Huachuca, Arizona |
| Authorized Official Name and Position | Carol Jean Phillips (LPN) |
| Authorized Official Contact | 5205339034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Usa Meddac, Rwbahc 2240 Winrow Ave Ft.huachuca AZ 85613-7079 Ph: (520) 533-9034 | Usa Meddac, Rwbahc 2240 E Winrow Ave Usa Meddac, Rwbahc Ft. Huachuca AZ 85613 Ph: (520) 533-9034 |
| NPI Number | 1124486840 |
|---|---|
| Provider Enumeration Date | 02/09/2016 |
| Last Update Date | 02/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124486840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | LP 00041579 (Washington) | Primary |