MR. John M. Modell, RN
NPI #1750355582 in Fort Carson, Colorado
Provider Information
- NPI Number
- 1750355582
- Entity Type
- Individual
- Name
- MR. John M. Modell, RN
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Registered Nurse - Administrator
- Credential
- RN
- Enumeration Date
- Feb 16, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7500 COCHRANE CIRCLE
- Address 2
- ATTN: COL MODELL USA MEDDAC
- City
- Fort Carson
- State
- Colorado
- ZIP Code
- 80913
- Phone
- (719) 526-7129
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Administrator — Administrator |
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