Organization
MAXWELL AFB AMBULATORY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMEKA DANIELLE RUSSELL M.D. (FAMILY PRACTICE PHYSICIAN)
(334) 953-1307
Entity
Organization
Contact information
Practice address
300 S. TWINING STREET, BLDG 760, FAMILY PRACTICE - YELLOW TEAM, MAXWELL AFB, AL 36112
(334) 953-2234
Mailing address
375 ASHTON PARK DR, MILLBROOK, AL 36054
(334) 290-0399
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
25934
AL
Other
Enumeration date
08/30/2005
Last updated
08/22/2020
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