90th Medgrp-Fe Warren
NPI #1609859826 in Fe Warren Afb, Wyoming
Provider Information
- NPI Number
- 1609859826
- Entity Type
- Organization
- Organization Name
- 90th Medgrp-Fe Warren
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 90TH MEDGRP-FE WARREN
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Nov 22, 2005
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 6900 ALDEN DR BLDG 160
- City
- Fe Warren Afb
- State
- Wyoming
- ZIP Code
- 82005-2945
- Phone
- (307) 773-4855
Authorized Official
- Name
- JEN LEWANDOWSKI
- Title
- DHA UBO
- Phone
- (703) 817-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure — Military and U.S. Coast Guard Ambulatory Procedure |
| Military/U.S. Coast Guard Pharmacy |
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
Similar Providers
| Provider Name | |
|---|---|
| Robert W Beck, DDS | |
| Ebon Scott Alley, LICSW | |
| Hallie Denise Landreth, PH D | |
| Bradley Eugene Rausch, DDS | |
| Dan R Greenhalgh, DMD |
Want to research this healthcare provider further?