62 Medical Group
NPI #1801837398 in Mcchord Afb, Washington
Provider Information
- NPI Number
- 1801837398
- Entity Type
- Organization
- Organization Name
- 62 Medical Group
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jun 8, 2006
- Last Updated
- Jun 13, 2008
Practice Location
- Address
- 690 BARNES BLVD
- Address 2
- ATTN: SGHC
- City
- Mcchord Afb
- State
- Washington
- ZIP Code
- 98438
- Phone
- (253) 982-9918
Authorized Official
- Name
- TESSIE M RIOS
- Title
- CREDENTIALS MANAGER
- Phone
- (253) 982-9918
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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