| United States Air Force | |
|
18 Medical Group Bldg 626 Apo AP 96368 | |
| (314) 884-2191 | |
| Not Available |
| Full Name | United States Air Force |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 18 Medical Group, Apo, Armed Forces Pacific |
| Authorized Official Name and Position | Mark J Aguiar (PEDIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 3148842191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United States Air Force Unit 5142 18 Medical Group, Bldg 626 Apo AP 96368-5142 Ph: () - | United States Air Force 18 Medical Group Bldg 626 Apo AP 96368 Ph: (314) 884-2191 |
| NPI Number | 1801134697 |
|---|---|
| Provider Enumeration Date | 01/29/2013 |
| Last Update Date | 01/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801134697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 667240 (Texas) | Primary |
Brian Allgood Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Combat Support Hospital, Unit 15244, Apo, AP 96205 Phone: 315-373-3203 |