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Organization
USAF
Active
Organization
USAF
Active
Other names
Wilford Hall Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL JUDSON MCDANIEL DMD (DIRECTOR OF OROFACIAL PAIN)
(210) 292-6393
Entity
Organization
Contact information
Practice address
2200 BERQUIST DRIVE, SUITE 1, LACKLAND AFB, TX 78236-5300
(210) 292-6393
(210) 292-3338
Mailing address
2200 BERQUIST DRIVE, SUITE 1, LACKLAND AFB, TX 78236-5300
(210) 292-6393
(210) 292-3338
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
5934-015
WI
Other
Enumeration date
01/09/2006
Last updated
08/22/2020
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