436th Medical Grp

NPI 1437112646 - Clinic/Center - 261QM1101X

NPI Details
NPI 1437112646
Enumeration Date 04/10/2006
Last Updated 05/20/2014
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name THERESA M. THERESA
Position AIR FORCE UBO ANALYST
Phone (302) 677-2649
Fax (302) 677-2051
Practice Location
300 TUSKEGEE BLVD
DOVER AFB DE, 19902-5003, US
Phone (302) 677-2649
Fax (302) 677-2051
Business Location
300 TUSKEGEE BLVD
DOVER AFB DE, 19902-5003, US
Phone (302) 677-2649
Fax (302) 677-2051
Toxanomy
Taxonomy Code 261QM1101X
License State
License Number
Remove 1437112646 NPI Number
 

According to our database, 436th Medical Grp NPI is 1437112646, taxonomy code is 261QM1101X 436th Medical Grp physically located at 300 Tuskegee Blvd, Dover Afb DE, 19902-5003. NPI Number 1033115704 has the healthcare provider type.

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1437112646 NPI number is provided on an as is basis without warranty of any kind. 1437112646 is maintained by the National Plan & Provider Enumeration System. The contents of 436th Medical Grp are for informational purposes only.