Organization
MALMSTROM AIR FORCE BASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY CHRISTOPHER WILSON LMSW (FAMILY ADVOCACY OFFICER)
(406) 731-3219
Entity
Organization
Contact information
Practice address
7300 N PERIMETER RD BLDG 2040, 341 MDOS/SGOMHF MALMSTROM AFB, GREAT FALLS, MT 59402-6701
(406) 731-3219
Mailing address
7300 N PERIMETER RD BLDG 2040, 341 MDOS/SGOMHF MALMSTROM AFB, GREAT FALLS, MT 59402-6701
(406) 731-3219
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
39921
TX
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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