NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1144553801 |   |   |   | GAHCC-TPCP | 11050 MOUNT BELVEDERE BLVD | FORT DRUM | NY | 136025438 |
1962487926 | ANDERSON | MARVIN | PAUL |   | US ARMY DENTAL ACTIVITY | FORT DRUM | NY | 136025005 |
1578554119 | BEUTTENMULLER | ERHARD | ALFRED |   | 10205 NORTH RIVA RIDGE LOOP | FORT DRUM | NY | 136025005 |
1992796981 | DULING | ELIZABETH | ELLEN |   | 10205 N. RIVA RIDGE LOOP | FT. DRUM | NY | 136025005 |
1043294002 | HASH | OSCAR | B |   | 10205 N RIVA RIDGE LOOP | FORT DRUM | NY | 136025005 |
1275514341 | PADRON | RICHARD |   |   | 10205 N RIVA RIDGE LOOP | FORT DRUM | NY | 136025005 |
1770562415 | PRUITT | BONITA | LYNN |   | US ARMY DENTAL ACTIVITY ATTN CREDENTIALS COORDINATOR | FORT DRUM | NY | 136035005 |