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Organization
USAF
Active
Organization
USAF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORY CORNUM M.D. (MEDICAL GROUP COMMANDER)
(757) 764-6969
Entity
Organization
Contact information
Practice address
1ST MEDICAL GROUP, 45 PINE ROAD, LANGLEY AFB, VA 23665-2080
(757) 764-7611
Mailing address
1ST MEDICAL GROUP, 45 PINE ROAD, LANGLEY AFB, VA 23665-2080
(757) 764-7611
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
014623
MO
Other
Enumeration date
12/22/2005
Last updated
04/02/2008
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