366th Medical Group Sgsl

Practice location

Address

90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1057

Phone

(208) 828-7480

Fax

(208) 828-3785

Authorised official

Name

Hector Morales

Title

Chief Dha Pass

Phone

(210) 536-6650

Registered specialties (2)

Registry record

NPI

1811094667

Entity type

Organization

NPI issued

20 Sep 2006

Record last updated

8 Feb 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.