| 55 Mdos | |
|
55 Mdos Sgo 2501 Capehart Rd Offutt A F B NE 68113-1712 | |
| (402) 294-7883 | |
| Not Available |
| Full Name | 55 Mdos |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 55 Mdos Sgo, Offutt A F B, Nebraska |
| Authorized Official Name and Position | Stephen F Hamilton (MENAL HEALTH FLIGHT COMMANDER) |
| Authorized Official Contact | 4022947883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 55 Mdos 55 Mdos Sgo 2501 Capehart Rd Offutt A F B NE 68113-1712 Ph: (402) 294-7883 | 55 Mdos 55 Mdos Sgo 2501 Capehart Rd Offutt A F B NE 68113-1712 Ph: (402) 294-7883 |
| NPI Number | 1285624262 |
|---|---|
| Provider Enumeration Date | 10/21/2005 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285624262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 679 (Oklahoma) | Primary |