# US ARMY WALTER REED ARMY MED CTR

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

## Provider details

- **NPI number:** 1770554107
- **Authorized official:** MS. JILL ELIZABETH FOWLER RD (CLINICAL DIETITIAN)
- **Authorized official phone:** (210) 274-9969

## Contact information

- **Practice address:** 4601 N PARK AVE, \#1009, CHEVY CHASE, MD 20815-4519
- **Practice address phone:** (301) 656-1560
- **Mailing address:** 6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0003
- **Mailing address phone:** (202) 782-9511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | 2865M2000X | TX | Yes |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 08/22/2020