Organization
DFAS ATTN:DFASIN/JAMBF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK LIESEMER (BDE SURGEON)
(253) 477-2284
Entity
Organization
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, 9040 REID STREET, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-2252
(253) 968-3278
Mailing address
MADIGAN ARMY MEDICAL CTR, 9040 REID STREET, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-2252
(253) 968-3278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/16/2015
Last updated
12/04/2015
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