Organization
U.S. COAST GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONNIE RAY DYAL JR. (HEALTH SERVICE TECHNICIANS)
(503) 861-6240
Entity
Organization
Contact information
Practice address
U.S. COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(503) 861-6240
Mailing address
U.S. COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(503) 861-6240
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/23/2005
Last updated
08/22/2020
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