Mashantucket Pequot Tribal Council
NPI #1508140922 in Ledyard, Connecticut
Provider Information
- NPI Number
- 1508140922
- Entity Type
- Organization
- Organization Name
- Mashantucket Pequot Tribal Council
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 4, 2011
- Last Updated
- Sep 9, 2014
Practice Location
- Address
- 75 ROUTE 2
- City
- Ledyard
- State
- Connecticut
- ZIP Code
- 06339-1128
- Phone
- (860) 312-8000
Authorized Official
- Name
- SHANNA TARI REELS
- Title
- TRIBAL HEALTH SERVICES DIRECTOR
- Phone
- (860) 312-8014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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