Organization · NPI-2

31 Medical Group

Military Hospital · Apo, AE

NPI number1306095104
StatusActive
Last updated in NPPESSep 17, 2008

Details

NPI
1306095104
Entity type
Organization (NPI-2)
Legal business name
31 Medical Group
Organization subpart
No
Enumeration date
Sep 17, 2008
Last updated
Sep 17, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
286500000X Military Hospital089304GAYes

Practice location

Psc 103 Box 3186
Apo, AE 09603-0032

Phone 043-430-5038

Mailing address

Psc 103 Box 3186
Apo, AE 09603-0032

Phone 043-430-5038

Authorized official

Penelope Franklin Gorsuch
Nurse Practitioner
0434305038

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