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Organization

341 MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG FORCUM (COMMANDER)
(406) 731-3863
Entity
Organization

Contact information

Practice address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
(406) 731-2110
Mailing address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
(406) 731-2110

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
1100
NE

Other

Enumeration date
01/11/2018
Last updated
01/11/2018
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