Organization
USCG MEDICAL CLINIC ELIZABETH CITY
Active
Other names
stephen c. push memorial clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE ENRIQUE LEFEBRE JR. TECHNICIAN (TECHNICIAN)
(252) 335-6461
Entity
Organization
Contact information
Practice address
COMDT CG-1122 U S, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(252) 335-6461
(252) 335-6255
Mailing address
COMDT CG-1122 U S, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
01/16/2008
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