Maxwell Afb Ambulatory Health Care Center
NPI #1396738944 in Maxwell Afb, Alabama
Provider Information
- NPI Number
- 1396738944
- Entity Type
- Organization
- Organization Name
- Maxwell Afb Ambulatory Health Care Center
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Aug 30, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 300 S. TWINING STREET
- Address 2
- BLDG 760, FAMILY PRACTICE - YELLOW TEAM
- City
- Maxwell Afb
- State
- Alabama
- ZIP Code
- 36112
- Phone
- (334) 953-2234
Authorized Official
- Name
- DR. TOMEKA DANIELLE RUSSELL, M.D.
- Title
- FAMILY PRACTICE PHYSICIAN
- Phone
- (334) 953-1307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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