17th Medical Group
NPI #1235490574 in Goodfellow Afb, Texas
Provider Information
- NPI Number
- 1235490574
- Entity Type
- Organization
- Organization Name
- 17th Medical Group
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Jun 4, 2012
- Last Updated
- Jun 4, 2012
Practice Location
- Address
- 271 FORT RICHARDSON AVE
- City
- Goodfellow Afb
- State
- Texas
- ZIP Code
- 76908-4901
- Phone
- (325) 654-5238
Authorized Official
- Name
- JAMES FORREST
- Title
- COLONEL
- Phone
- (325) 654-3075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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