579th Medical Group

NPI 1013988328 - Clinic/Center - 261QM1103X

NPI Details
NPI 1013988328
Enumeration Date 01/27/2006
Last Updated 02/24/2014
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name THERESA MARIE THERESA
Position AIR FORCE UNIFORM BUSINESS OFFICE
Phone (202) 404-3602
Fax (202) 404-8233
Practice Location
238 BROOKLEY AVE
WASHINGTON DC, 20032, US
Phone (202) 404-3602
Fax (202) 404-8233
Business Location
1050 W PERIMETER RD FB14
ANDREWS AFB MD, 20762-6600, US
Phone (202) 404-3602
Fax (202) 404-8233
Toxanomy
Taxonomy Code 261QM1103X
License State
License Number
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According to our database, 579th Medical Group NPI is 1013988328, taxonomy code is 261QM1103X 579th Medical Group physically located at 238 Brookley Ave, Washington DC, 20032. NPI Number 1033115704 has the healthcare provider type.

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1013988328 NPI number is provided on an as is basis without warranty of any kind. 1013988328 is maintained by the National Plan & Provider Enumeration System. The contents of 579th Medical Group are for informational purposes only.