# DFAS ATTN:DFASIN/JAMBF

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437523388
- **Authorized official:** KIRK LIESEMER (BDE SURGEON)
- **Authorized official phone:** (253) 477-2284

## Contact information

- **Practice address:** MADIGAN ARMY MEDICAL CTR, 9040 REID STREET, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
- **Practice address phone:** (253) 968-2252
- **Practice address fax:** (253) 968-3278
- **Mailing address:** MADIGAN ARMY MEDICAL CTR, 9040 REID STREET, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
- **Mailing address phone:** (253) 968-2252
- **Mailing address fax:** (253) 968-3278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2015
- **Last updated:** 12/04/2015