55 Mdos
NPI #1285624262 in Offutt a F B, Nebraska
Provider Information
- NPI Number
- 1285624262
- Entity Type
- Organization
- Organization Name
- 55 Mdos
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Oct 21, 2005
- Last Updated
- Jun 13, 2008
Practice Location
- Address
- 55 MDOS SGO
- Address 2
- 2501 CAPEHART RD
- City
- Offutt a F B
- State
- Nebraska
- ZIP Code
- 68113-1712
- Phone
- (402) 294-7883
Authorized Official
- Name
- DR. STEPHEN F HAMILTON, PHD
- Title
- MENAL HEALTH FLIGHT COMMANDER
- Phone
- (402) 294-7883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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