Organization
US COAST GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID GREEN (TECH)
(251) 441-6404
Entity
Organization
Contact information
Practice address
2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0002
(251) 441-6404
Mailing address
2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0002
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/23/2006
Last updated
08/22/2020
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