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Organization

USCG AIR STATION PORT ANGELES MEDCIAL/DENTAL CLINIC

Active
Other names
Gershowitz Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN J KINSLEY M.D. (SENIOR HEALTH SERVICES OFFICER)
(360) 417-5894
Entity
Organization

Contact information

Practice address
COMMANDANT USCG HQ (CG-1122), 2100 2ND STREET, WASHINGTON, DC 20593-0001
(202) 267-0801
Mailing address
COMMANDANT USCG HQ (CG-1122), 2100 2ND STREET, WASHINGTON, DC 20593-0001
(202) 267-0801

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary

Other

Enumeration date
12/13/2005
Last updated
08/18/2010
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