NPI 1902263098

United States Army

Organisation Military Hospital Fort Leonard Wood, MO

Practice location

Address: 4430 Missouri Ave Box 1267, Fort Leonard Wood, MO 65473-9098
Phone: (573) 596-0417

Authorised official

Name: Sheila R Ham
Title: Chief of Credentialing
Phone: (573) 596-0417

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence 070.021481 (IL)

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Registry record

NPI: 1902263098
Entity type: Organization
NPI issued: 21 Jan 2016
Record last updated: 21 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.