Usaf Active Duty

NPI 1861477176 - Clinic/Center - 261QM1101X

NPI Details
NPI 1861477176
Enumeration Date 12/09/2005
Last Updated 10/07/2011
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name SERENA LYNN SERENA
Position AIR FORCE UNIFORM BUSINESS OFFICE
Phone 01638528703
Fax
Practice Location
48TH MEDICAL GRP RAF LAKENHEATH
UNIT 5210
APO AE, 09464-5210, US
Phone 01638528703
Fax
Business Location
BOX 230
UNIT 5210
APO AE, 09464-5210, US
Phone 01638528703
Fax
Toxanomy
Taxonomy Code 261QM1101X
License State
License Number
Remove 1861477176 NPI Number
 

According to our database, Usaf Active Duty NPI is 1861477176, taxonomy code is 261QM1101X Usaf Active Duty physically located at 48th Medical Grp Raf Lakenheath, Apo AE, 09464-5210. NPI Number 1033115704 has the healthcare provider type.

1861477176 NPI number is provided on an as is basis without warranty of any kind. 1861477176 is maintained by the National Plan & Provider Enumeration System. The contents of Usaf Active Duty are for informational purposes only.