MIKALYN T DEFOOR

JBSA-FORT SAM HOUSTON, TX
NPI1649805961
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: VA  0101274515)
Enumeration Date2020-03-06
Last Update Date2022-06-08
Business Address
MIKALYN T DEFOOR MD
SAN ANTONIO MILITARY CENTER, MCHE-ZSO, ORTHOPAEDIC RES 3551 ROGER BROOKE DR.
JBSA-FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-1284
Mailing Address
MIKALYN T DEFOOR MD
WILFORD HALL AMBULATORY SURGICAL CENTER 1100 WILFORD HALL LOOP, BLDG. 4554, 59 MDW/GME
JBSA LACKLAND, TX 78236-9908
Phone number: 210-916-1284
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