Organization
DFAS-JFLL/IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN M. CADELL (CREDENTIALS MANAGER/PATIENT ADVOCAT)
(701) 723-5109
Entity
Organization
Contact information
Practice address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
(701) 723-5597
Mailing address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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