Organization
UNITED STATES AIR FORCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS ROBINSON (MAJOR)
(210) 565-3821
Entity
Organization
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7361
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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