43rd Medical Group

NPI #1619957586 in Pope Afb, North Carolina

Provider Information

NPI Number
1619957586
Entity Type
Organization
Organization Name
43rd Medical Group
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Jan 18, 2006
Last Updated
Nov 12, 2010

Practice Location

Address
383 MAYNARD ST
Address 2
43RD MEDICAL GROUP
ZIP Code
28308-2321
Phone
(910) 394-2205

Authorized Official

Name
SERENA LYNN HANSKEN
Title
AIR FORCE UNIFORM BUSINESS OFFICE P
Phone
(703) 588-6419

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Military and U.S. Coast Guard Ambulatory ProcedureMilitary and U.S. Coast Guard Ambulatory Procedure
Military/U.S. Coast Guard Pharmacy
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient

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