81st Medical Group

NPI 1023302957 - Military Hospital - 286500000X

NPI Details
NPI 1023302957
Enumeration Date 06/08/2011
Last Updated 06/08/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name LARAMIE JAY LARAMIE
Position PHYSICIAN ASSISSTANT
Phone (228) 376-0440
Fax
Practice Location
301 FISHER ST
81 MDOS SGOF
KEESLER AFB MS, 39534-2508, US
Phone (228) 376-0440
Fax
Business Location
301 FISHER ST
81 MDOS SGOF
KEESLER AFB MS, 39534-2508, US
Phone (228) 376-0440
Fax
Toxanomy
Taxonomy Code 286500000X
License State
License Number
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According to our database, 81st Medical Group NPI is 1023302957, taxonomy code is 286500000X 81st Medical Group physically located at 301 Fisher St, Keesler Afb MS, 39534-2508. NPI Number 1033115704 has the healthcare provider type.

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1023302957 NPI number is provided on an as is basis without warranty of any kind. 1023302957 is maintained by the National Plan & Provider Enumeration System. The contents of 81st Medical Group are for informational purposes only.