5th Medical Group

NPI #1760764393 in Minot Afb, North Dakota

Provider Information

NPI Number: 1760764393
Entity Type: Organization
Organization Name: 5th Medical Group
Primary Specialty: Military Hospital - Military General Acute Care Hospital
Enumeration Date: Sep 9, 2011
Last Updated: Sep 9, 2011

Practice Location

Address: 10 MISSILE AVE
City: Minot Afb
State: North Dakota
ZIP Code: 58705-5003
Phone: (701) 723-5190

Authorized Official

Name: ROBERT B LONG
Title: INDEPENDENT DUTY MEDICAL TECHNICIAN
Phone: (701) 723-5190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Hospital - Military General Acute Care Hospital — Military General Acute Care Hospital	2865M2000X	Primary

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Organizations

Provider Name	Specialty	City
5th Medgrp-Minot Part of 5th Medgrp-Minot	Clinic/Center - Military/U.S. Coast Guard Outpatient	Minot Afb	AI Deep Dive

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