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NPI 1720071608

OrganizationActive

United States Air Force

NPI 1720071608 · Military Hospital · Luke Afb, AZ

Provider details

NPI number: 1720071608
Entity type: Organization
Primary specialty: Military HospitalHospitals
Authorized official: Patti Peterson-Balliet, Pediatric Nurse Practitioner
License: RN114749 (AZ)

Practice location

7219 N Litchfield Rd

Luke Afb, AZ 85309-1529

Phone: (623) 856-9725

Fax: (623) 856-7567

More AZ providers

Mailing address

2407 N 127th Ln

Avondale, AZ 85323-6576

Registry dates

Enumerated: 2005-08-25
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

United States Air Force — NPI 1720071608, Luke Afb, AZ | NPI Central