Organization
72D MEDGRP-TINKER
Active
Parent organization
72D MEDGRP-TINKER
Other names
72D Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
72D MEDGRP-TINKER
Authorized official
JEN LEWANDOWSKI (DHA UBO)
(703) 817-4030
Entity
Organization
Contact information
Practice address
7050 AIR DEPOT TINKER AFB, BUILDING 1094, TINKER AFB, OK 73145
(405) 582-6033
(405) 736-3892
Mailing address
7050 AIR DEPOT TINKER AFB, BUILDING 1094, TINKER AFB, OK 73145
(405) 582-6035
(405) 736-3892
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2005
Last updated
06/17/2025
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