81st Medical Group
NPI #1023302957 in Keesler Afb, Mississippi
Provider Information
- NPI Number
- 1023302957
- Entity Type
- Organization
- Organization Name
- 81st Medical Group
- Primary Specialty
- Military Hospital
- Enumeration Date
- Jun 8, 2011
- Last Updated
- Jun 8, 2011
Practice Location
- Address
- 301 FISHER ST
- Address 2
- 81 MDOS SGOF
- City
- Keesler Afb
- State
- Mississippi
- ZIP Code
- 39534-2508
- Phone
- (228) 376-0440
Authorized Official
- Name
- LARAMIE JAY RICHMOND
- Title
- PHYSICIAN ASSISSTANT
- Phone
- (228) 376-0440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Hospital |
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