| NPI | 1174500961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORY CORNUM Medical Group Commander 757-764-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: MO 014623) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2008-04-02 |