21st Medgrp-Peterson
NPI #1942286224 in Peterson Afb, Colorado
Provider Information
- NPI Number
- 1942286224
- Entity Type
- Organization
- Organization Name
- 21st Medgrp-Peterson
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 21ST MEDGRP-PETERSON
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Dec 19, 2005
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 559 VINCENT ST
- City
- Peterson Afb
- State
- Colorado
- ZIP Code
- 80914-1541
- Phone
- (719) 556-1250
Authorized Official
- Name
- JEN LEWANDOWSKI
- Title
- DHA UBO
- 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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