412th Medgrp-Edwards
NPI #1891765046 in Edwards Afb, California
Provider Information
- NPI Number
- 1891765046
- Entity Type
- Organization
- Organization Name
- 412th Medgrp-Edwards
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 412TH MEDGRP-EDWARDS
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Jan 23, 2006
- Last Updated
- Jun 16, 2025
Practice Location
- Address
- 30 NIGHTINGALE RD
- Address 2
- BLDG 5525
- City
- Edwards Afb
- State
- California
- ZIP Code
- 93524-0001
- Phone
- (661) 275-2634
Authorized Official
- Name
- JEN LEWANDOWSKI
- Title
- AIR FORCE UBO ANALYST
- Phone
- (703) 817-4030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure — Military and U.S. Coast Guard Ambulatory Procedure |
| Military/U.S. Coast Guard Pharmacy |
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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