United States Air Force

NPI #1154545440 in Lackland Air Force Base, Texas

Provider Information

NPI Number: 1154545440
Entity Type: Organization
Organization Name: United States Air Force
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: WILFORD HALL MEDICAL CENTER
Address 2: 2200 BERGQUIST DRIVE
City: Lackland Air Force Base
State: Texas
ZIP Code: 78236
Phone: (210) 292-7520

Authorized Official

Name: DR. WOODSON SCOTT JONES, MD
Title: PEDIATRIC RESIDENCY DIRECTOR
Phone: (210) 292-7520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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