# 341 MEDICAL GROUP MAFB AFB, MT

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

## Provider details

- **NPI number:** 1982610770
- **Authorized official:** ANTHONY CHRISTOPHER WILSON (FAMILY ADVOCACY OFFICER)
- **Authorized official phone:** (406) 731-3219

## Contact information

- **Practice address:** 1709 FOX FARM RD, GREAT FALLS, MT 59404-3323
- **Practice address phone:** (406) 731-3219
- **Mailing address:** 1709 FOX FARM ROAD, GREAT FALLS, MT 59404
- **Mailing address phone:** (406) 731-3219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 286500000X | Military Hospital | I-3035 | NM | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 06/13/2008