Hickam Afb 15th Mdg
NPI #1952582009 in Hickam Afb, Hawaii
Provider Information
- NPI Number
- 1952582009
- Entity Type
- Organization
- Organization Name
- Hickam Afb 15th Mdg
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 16, 2007
- Last Updated
- Nov 16, 2007
Practice Location
- Address
- 755 SCOTT CIR
- Address 2
- 15TH MED GROUP
- City
- Hickam Afb
- State
- Hawaii
- ZIP Code
- 96853-5399
- Phone
- (808) 448-6133
Authorized Official
- Name
- MERCEDES HAMILTON, LPN
- Title
- REFERRAL MANAGER
- Phone
- (808) 448-6133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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