79th Medical Group Malcolm Grow Medical Center

NPI #1972643401 in Andrews Air Force Base, Maryland

Provider Information

NPI Number
1972643401
Entity Type
Organization
Organization Name
79th Medical Group Malcolm Grow Medical Center
Primary Specialty
Military Hospital
Enumeration Date
Feb 7, 2007
Last Updated
Jun 13, 2008

Practice Location

Address
1050 W PERIMETER RD
Address 2
MALCOLM GROW MEDICAL CENTER
ZIP Code
20762-6601
Phone
(240) 857-4951

Authorized Official

Name
MS. NATALIE YVETTE GISCOMBE, REGISTERED NURSE
Title
ADULT NURSE PRACTITIONER
Phone
(240) 857-4951

Specialties & Taxonomy Codes

Specialty
Military Hospital

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