Organization
UNITED STATES AIR FORCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON MOORE (CREDENTIALING AGENT)
(210) 812-2170
Entity
Organization
Contact information
Practice address
1061 ADAMS ST, NEW CASTLE, PA 16101-4301
(412) 592-4641
Mailing address
1061 ADAMS ST, NEW CASTLE, PA 16101-4301
(412) 592-4641
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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