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Organization
US ARMY WALTER REED ARMY MED CTR
Active
Organization
US ARMY WALTER REED ARMY MED CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL ELIZABETH FOWLER RD (CLINICAL DIETITIAN)
(210) 274-9969
Entity
Organization
Contact information
Practice address
4601 N PARK AVE, #1009, CHEVY CHASE, MD 20815-4519
(301) 656-1560
Mailing address
6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0003
(202) 782-9511
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
2865M2000X
TX
Other
Enumeration date
02/01/2006
Last updated
08/22/2020
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