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Organization
DFAS-JFLL/IN
Active
Organization
DFAS-JFLL/IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK ALLEN LANG RN, MSN (ELEMENT CHIEF, AEROSPACE MEDICINE)
(618) 256-3381
Entity
Organization
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-3381
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-3381
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
154926
MO
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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