81msgs/sgcq
NPI #1184073181 in Keesler Afb, Mississippi
Provider Information
- NPI Number
- 1184073181
- Entity Type
- Organization
- Organization Name
- 81msgs/sgcq
- Primary Specialty
- General Acute Care Hospital
- Enumeration Date
- Jun 9, 2016
- Last Updated
- Jun 9, 2016
Practice Location
- Address
- 81MSGS/SGCQ
- Address 2
- 301 FISHER ST, RM 5A127
- City
- Keesler Afb
- State
- Mississippi
- ZIP Code
- 39534
- Phone
- (210) 833-2295
Authorized Official
- Name
- EVAN DANNHARDT, D.O.
- Title
- RESIDENT
- Phone
- (210) 833-2295
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
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