Organization
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE RUSSELL (ADMINISTRATIVE OFFICER)
(573) 329-8504
Entity
Organization
Contact information
Practice address
126 MISSOURI AVE., FORT LEONARD WOOD, MO 65473
(573) 596-0131
Mailing address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-0131
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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