Healthcare Provider Details

I. General information

NPI: 1669456588
Provider Name (Legal Business Name): US ARMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DARMSTADT HEALTH CLINIC CMR 431
APO AE
09175
DE

IV. Provider business mailing address

ATTN: CREDENTIALS OFFICE CMR 442
APO AE
09042
DE

V. Phone/Fax

Practice location:
  • Phone: 496151696263
  • Fax: 496151697378
Mailing address:
  • Phone: 496221172274
  • Fax: 496221172941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2865M2000X
TaxonomyMilitary General Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. OMER OZGUC
Title or Position: FAMILY NURSE PRACTITIONER
Credential: FNP
Phone: 179-250-9969