NPI 1669579413
21 Medical Group
Practice location
- Address
- 8119 Park Dr, Usaf Academy, CO 80840-2397
- Phone
- (719) 333-0545
- Fax
- (719) 333-0544
Authorised official
- Name
- Hector Morales
- Title
- Chief Dha Pass
- Phone
- (210) 536-6650
Registered specialties (2)
Military/U.S. Coast Guard Pharmacy
Primary
Registry record
- NPI
- 1669579413
- Entity type
- Organization
- NPI issued
- 20 Sep 2006
- Record last updated
- 13 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.