Individual Provider

NPI 1376890293 - Military Hospital - 286500000X

NPI Details
NPI 1376890293
Enumeration Date 08/09/2012
Last Updated 09/14/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name CHUONG NGUYEN CHUONG
Position MAJOR
Phone (850) 883-8600
Fax
Practice Location
307 BOATNER ROAD SUITE 114
96TH MEDICAL GROUP
EGLIN FL, 32542, US
Phone (850) 883-8600
Fax
Business Location
307 BOATNER ROAD SUITE 114
96TH MEDICAL GROUP
EGLIN FL, 32542, US
Phone (850) 883-8600
Fax
Toxanomy
Taxonomy Code 286500000X
License State
License Number
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According to our database, Individual Provider NPI is 1376890293, taxonomy code is 286500000X Individual Provider physically located at 307 Boatner Road Suite 114, Eglin FL, 32542. NPI Number 1033115704 has the healthcare provider type.

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1376890293 NPI number is provided on an as is basis without warranty of any kind. 1376890293 is maintained by the National Plan & Provider Enumeration System. The contents of Individual Provider are for informational purposes only.