71th Medical Group Sgsl

NPI #1710086079 in Enid, Oklahoma

Provider Information

NPI Number
1710086079
Entity Type
Organization
Organization Name
71th Medical Group Sgsl
Primary Specialty
Military/U.S. Coast Guard Pharmacy
Enumeration Date
Sep 22, 2006
Last Updated
Jan 22, 2016

Practice Location

Address
527 GOTT RD
City
Enid
ZIP Code
73705-5103
Phone
(580) 213-7783

Authorized Official

Name
HECTOR MORALES
Title
CHIEF DHA PASS
Phone
(210) 536-6650

Specialties & Taxonomy Codes

Specialty
Military/U.S. Coast Guard Pharmacy

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