375TH MEDGRP-SCOTT

SCOTT AFB, IL
NPI1861478448
Entity TypeOrganization
Authorized ContactBRUCE JAY GARDNER
Resident Physician
618-256-6267
Organization Subpart ?Yes
Primary Taxonomy286500000X Military Hospital
Enumeration Date2005-12-15
Last Update Date2025-05-29
Business Address
375TH MEDGRP-SCOTT
310 W LOSEY ST
SCOTT AFB, IL 62225-5250
Phone number: 618-256-6267
Mailing Address
375TH MEDGRP-SCOTT
310 W LOSEY ST
SCOTT AFB, IL 62225-5250
Phone number: 618-256-6267
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