Organization
FT LEONARD WOOD WTU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA KAY GREENWELL RN (RN NURSE CASE MANAGER)
(573) 586-0179
Entity
Organization
Contact information
Practice address
BLD 312 ROOM 12, FT LEONARD WOOD, MO 65473
(573) 586-0179
Mailing address
29690 MONROE ROAD 307, SHELBINA, MO 63468-2403
(573) 586-0179
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
137163
MO
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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