OrganizationActive
355th Medgrp-Davis-Monthan
NPI 1245210384 · Military/U.S. Coast Guard Outpatient Clinic/Center · Tucson, AZ
Provider details
- NPI number
- 1245210384
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 355th Medgrp-Davis-Monthan
- Authorized official
- Jen Lewandowski, Air Force Uniform Business Office
Practice location
4175 S Alamo Ave
Tucson, AZ 85707-6097
Phone: (520) 228-1506
Fax: (520) 228-0183
Mailing address
4175 S Alamo Ave
Tucson, AZ 85707-6097
Registry dates
- Enumerated
- 2006-01-17
- Last updated
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.