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Organization
FT LEONARD WOOD WTU
Active
Organization
FT LEONARD WOOD WTU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA KAY GREENWELL RN (RN NURSE CASE MANAGER)
(573) 586-0179
Entity
Organization
Contact information
Practice address
BLD 312 ROOM 12, FT LEONARD WOOD, MO 65473
(573) 586-0179
Mailing address
29690 MONROE ROAD 307, SHELBINA, MO 63468-2403
(573) 586-0179
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
137163
MO
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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