NPI 1861478448
375th Medgrp-Scott
Practice location
- Address
- 310 W Losey St, Scott Afb, IL 62225-5250
- Phone
- (618) 256-6267
- Fax
- (618) 256-7931
Authorised official
- Name
- Bruce Jay Gardner
- Title
- Resident Physician
- Phone
- (618) 256-6267
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1861478448
- Entity type
- Organization
- NPI issued
- 15 Dec 2005
- Record last updated
- 29 May 2025
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.