United States Army
NPI #1902263098 in Fort Leonard Wood, Missouri
Provider Information
- NPI Number
- 1902263098
- Entity Type
- Organization
- Organization Name
- United States Army
- Primary Specialty
- Military Hospital
- Enumeration Date
- Jan 21, 2016
- Last Updated
- Jan 21, 2016
Practice Location
- Address
- 4430 MISSOURI AVE
- Address 2
- BOX 1267
- State
- Missouri
- ZIP Code
- 65473-9098
- Phone
- (573) 596-0417
Authorized Official
- Name
- SHEILA R HAM
- Title
- CHIEF OF CREDENTIALING
- Phone
- (573) 596-0417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Hospital |
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