Organization
81MSGS/SGCQ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN DANNHARDT D.O. (RESIDENT)
(210) 833-2295
Entity
Organization
Contact information
Practice address
81MSGS/SGCQ, 301 FISHER ST, RM 5A127, KEESLER AFB, MS 39534
(210) 833-2295
Mailing address
301 FISHER ST, RM 5A127, 81MSGS/SGCQ, KEESLER AFB, MS 39534
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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