Organization
81ST MEDICAL GROUP
Active
Other names
Keesler Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
LARAMIE JAY RICHMOND (PHYSICIAN ASSISSTANT)
(228) 376-0440
Entity
Organization
Contact information
Practice address
301 FISHER ST, 81 MDOS SGOF, KEESLER AFB, MS 39534-2508
(228) 376-0440
Mailing address
301 FISHER ST, 81 MDOS SGOF, KEESLER AFB, MS 39534-2508
(228) 376-0440
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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