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Organization
MAXWELL AFB AMBULATORY HEALTH CARE CENTER
Active
Organization
MAXWELL AFB AMBULATORY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMEKA DANIELLE RUSSELL M.D. (FAMILY PRACTICE PHYSICIAN)
(334) 953-1307
Entity
Organization
Contact information
Practice address
300 S. TWINING STREET, BLDG 760, FAMILY PRACTICE - YELLOW TEAM, MAXWELL AFB, AL 36112
(334) 953-2234
Mailing address
375 ASHTON PARK DR, MILLBROOK, AL 36054
(334) 290-0399
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
25934
AL
Other
Enumeration date
08/30/2005
Last updated
08/22/2020
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