Usaf
NPI #1174500961 in Langley Afb, Virginia
Provider Information
- NPI Number
- 1174500961
- Entity Type
- Organization
- Organization Name
- Usaf
- Primary Specialty
- Military Hospital
- Enumeration Date
- Dec 22, 2005
- Last Updated
- Apr 2, 2008
Practice Location
- Address
- 1ST MEDICAL GROUP
- Address 2
- 45 PINE ROAD
- City
- Langley Afb
- State
- Virginia
- ZIP Code
- 23665-2080
- Phone
- (757) 764-7611
Authorized Official
- Name
- KORY CORNUM, M.D.
- Title
- MEDICAL GROUP COMMANDER
- Phone
- (757) 764-6969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Hospital |
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