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Organization
79TH MEDICAL GROUP MALCOLM GROW MEDICAL CENTER
Active
Organization
79TH MEDICAL GROUP MALCOLM GROW MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALIE YVETTE GISCOMBE REGISTERED NURSE (ADULT NURSE PRACTITIONER)
(240) 857-4951
Entity
Organization
Contact information
Practice address
1050 W PERIMETER RD, MALCOLM GROW MEDICAL CENTER, ANDREWS AIR FORCE BASE, MD 20762-6601
(240) 857-4951
(240) 857-7138
Mailing address
11423 PLENTY GATES CT, WALDORF, MD 20601-5601
(301) 645-3357
(240) 857-7138
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
RN64518
DC
Other
Enumeration date
02/07/2007
Last updated
06/13/2008
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