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Organization

US ARMY WALTER REED ARMY MED CTR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JILL ELIZABETH FOWLER RD (CLINICAL DIETITIAN)
(210) 274-9969
Entity
Organization

Contact information

Practice address
4601 N PARK AVE, #1009, CHEVY CHASE, MD 20815-4519
(301) 656-1560
Mailing address
6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0003
(202) 782-9511

Taxonomy

Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
2865M2000X
TX

Other

Enumeration date
02/01/2006
Last updated
08/22/2020
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