375TH MEDICAL GROUP

SCOTT AFB, IL
NPI1851373161
Entity TypeOrganization
Authorized ContactCHRISTOPHER DOUGLAS EATON
Air Force Uniform Business Office
703-681-6303
Organization Subpart ?No
Primary Taxonomy261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient
Additional Taxonomies261QM1101X Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure
286500000X Military Hospital
Enumeration Date2005-11-14
Last Update Date2007-08-16
Business Address
375TH MEDICAL GROUP
310 W LOSEY ST
SCOTT AFB, IL 62225-5250
Phone number: 618-256-7392
Mailing Address
375TH MEDICAL GROUP
310 W LOSEY ST
SCOTT AFB, IL 62225-5250
Phone number: 618-256-7392