NPI 1932514171
21st Medgrp-Peterson
Practice location
- Address
- 110 W Ent Ave, Peterson Afb, CO 80914-1595
- Phone
- (719) 556-0865
- Fax
- (719) 556-1106
- 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 (2)
Military/U.S. Coast Guard Pharmacy
Primary
Registry record
- NPI
- 1932514171
- Entity type
- Organization
- NPI issued
- 26 Jun 2014
- Record last updated
- 13 Jun 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.