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NPI Provider: 1023091642
Contact Name: Eaton Douglas Christopher
Position: Air Force Uniform Business Office
Phone: (703) 681-6303
28th Medical Group Information:
28th Medical Group organization have npi 1023091642, taxonomy code is 261QM1100X with license number is in . This Business address located in 2900 Doolittle Dr, Ellsworth AFB, SD 57706 South Dakota. Get directions of 28th Medical Group.
Practice Location
Address: 2900 Doolittle Dr, Ellsworth AFB, SD 57706
Phone: (605) 385-3311
Business Location
Address: 2900 Doolittle Dr, Ellsworth AFB, SD 57706
Phone: (605) 385-3311
Fax: (605) 385-3234
Taxonomy
Taxonomy Code: 261QM1100X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 11/29/2005
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