Organization
US COAST GUARD MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKKI DENISE VILLOCH (HEALTH SERVICE TECHNICIAN)
(202) 372-4100
Entity
Organization
Contact information
Practice address
1220 WINFIELD CT, KING GEORGE, VA 22485-6771
(540) 775-7834
Mailing address
1220 WINFIELD CT, KING GEORGE, VA 22485-6771
(540) 775-7834
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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