Organization
RAYMOND W BLISS ARMY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA SUE HALDORSON LPN (LICIENSED PRACTICAL NURSE)
(520) 533-2627
Entity
Organization
Contact information
Practice address
2240 WINROW RD, FT HUACHUCA, AZ 85613-5080
(520) 533-2627
Mailing address
7935 E CONNOR RD, SIERRA VISTA, AZ 85650-9081
(520) 803-6793
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
LP028519
AZ
Other
Enumeration date
02/01/2006
Last updated
08/22/2020
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