United States Air Force

NPI #1114287059 in Scott Afb, Illinois

Provider Information

NPI Number: 1114287059
Entity Type: Organization
Organization Name: United States Air Force
Primary Specialty: Military Hospital
Enumeration Date: May 25, 2012
Last Updated: May 25, 2012

Practice Location

Address: 310 W LOSEY ST
City: Scott Afb
State: Illinois
ZIP Code: 62225-5250
Phone: (618) 256-7361

Authorized Official

Name: DENNIS ROBINSON
Title: MAJOR
Phone: (210) 565-3821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Hospital	286500000X	Primary

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