# 99TH MEDICAL GROUP, NELLIS AFB

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740261122
- **Authorized official:** DR. MARKHAM BROWN MD (CHIEF OF MEDICAL SERVICES)
- **Authorized official phone:** (702) 653-2000

## Contact information

- **Practice address:** 4700 LAS VEGAS BLVD N, MIKE O'CALLAGHAN FEDERAL HOSPITAL, NELLIS AFB, NV 89191-6600
- **Practice address phone:** (702) 653-2616
- **Mailing address:** 4700 LAS VEGAS BLVD N, MIKE O'CALLAGHAN FEDERAL HOSPITAL, NELLIS AFB, NV 89191-6600
- **Mailing address phone:** (702) 653-2616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5434 | KY | Yes |

## Other

- **Enumeration date:** 11/10/2005
- **Last updated:** 06/13/2008