Organization
NAVAL HOSPITAL BREMERTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE A GUY (IDC)
(360) 315-4363
Entity
Organization
Contact information
Practice address
2050 BARB ST STE A, SILVERDALE, WA 98315-2050
(360) 315-4363
Mailing address
7300 MCCORMICK WOODS DR SW, PORT ORCHARD, WA 98367-7476
(360) 874-0449
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
08/22/2020
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