Branch Medical Clinic Camp Smith Medical Annex
NPI #1073712824 in Pearl Harbor, Hawaii
Provider Information
- NPI Number
- 1073712824
- Entity Type
- Organization
- Organization Name
- Branch Medical Clinic Camp Smith Medical Annex
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NAVAL HEALTH CLINIC HAWAII
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Jul 12, 2007
- Last Updated
- Nov 17, 2017
Practice Location
- Address
- 480 CENTRAL AVE
- Address 2
- CODE 02
- City
- Pearl Harbor
- State
- Hawaii
- ZIP Code
- 96860-4908
- Phone
- (808) 474-2239
Authorized Official
- Name
- WILLIAM M CONDON
- Title
- BUMED UBO
- Phone
- (240) 401-3643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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