NPI 1285012922
21st Medical Group
Practice location
- Address
- 220 Falcon Pkwy Bldg 220, Colorado Springs, CO 80912-5005
- Phone
- (719) 567-4423
- Fax
- (719) 567-4817
- Mailing address
- 21st Medical Group C/O Rmo Office 559 Vincent St, Peterson Afb, CO 80914-1541
Authorised official
- Name
- Hector Morales
- Title
- Chief Dha Pass
- Phone
- (210) 536-6650
Registered specialties
Military/U.S. Coast Guard Pharmacy
Primary
Registry record
- NPI
- 1285012922
- Entity type
- Organization
- NPI issued
- 14 May 2015
- Record last updated
- 15 Jan 2016
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.