# 72D MEDGRP-TINKER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 72D MEDGRP-TINKER
- **Other names:** 72D Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285618363
- **Legal business name:** 72D MEDGRP-TINKER
- **Authorized official:** JEN LEWANDOWSKI (DHA UBO)
- **Authorized official phone:** (703) 817-4030

## Contact information

- **Practice address:** 7050 AIR DEPOT TINKER AFB, BUILDING 1094, TINKER AFB, OK 73145
- **Practice address phone:** (405) 582-6033
- **Practice address fax:** (405) 736-3892
- **Mailing address:** 7050 AIR DEPOT TINKER AFB, BUILDING 1094, TINKER AFB, OK 73145
- **Mailing address phone:** (405) 582-6035
- **Mailing address fax:** (405) 736-3892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/02/2005
- **Last updated:** 06/17/2025