Organization
USS PASADENA(SSN752)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ELL KHAN (INDEPENDENT DUTY CORPSMAN)
(858) 382-1143
Entity
Organization
Contact information
Practice address
888 MURRAY DR, HONOLULU, HI 96818-3721
(858) 382-1143
Mailing address
888 MURRAY DR, HONOLULU, HI 96818
(858) 382-1143
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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