NPI 1104925585

60th Medical Group

Organisation Military Hospital Travis Afb, CA

Practice location

Address: 101 Bodin Cir, Travis Afb, CA 94535-1809
Phone: (707) 423-3459
Mailing address: 2569 Shorey Way, Fairfield, CA 94533-6562

Authorised official

Name: Marcos Lopez
Title: Clinical Pharmacist
Phone: (707) 423-3459

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence 4679 (PR)

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Registry record

NPI: 1104925585
Entity type: Organization
NPI issued: 21 Sep 2006
Record last updated: 13 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.