22 Mdg
NPI #1275931263 in Mcconnell Afb, Kansas
Provider Information
- NPI Number
- 1275931263
- Entity Type
- Organization
- Organization Name
- 22 Mdg
- Primary Specialty
- Military Hospital
- Enumeration Date
- Dec 8, 2014
- Last Updated
- Dec 8, 2014
Practice Location
- Address
- 57950 LEAVENWORTH ST
- City
- Mcconnell Afb
- State
- Kansas
- ZIP Code
- 67221-3506
- Phone
- (316) 759-5019
Authorized Official
- Name
- MARINA PUENTES, PA
- Title
- FAMILY PRACTICE PHYSICIAN ASSISTANT
- Phone
- (316) 759-5019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Hospital |
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