Branch Medical Clinic Bridgeport

NPI #1083817597 in Bridgeport, California

Provider Information

NPI Number
1083817597
Entity Type
Organization
Organization Name
Branch Medical Clinic Bridgeport
Subpart
Yes (part of a larger organization)
Parent Organization
NAVAL HOSPITAL TWENTYNINE PALMS
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Jun 11, 2007
Last Updated
Oct 16, 2017

Practice Location

Address
MWTC BLDG 3005
ZIP Code
93517
Phone
(760) 830-2498

Authorized Official

Name
WILLIAM M CONDON
Title
BUMED UBO
Phone
(240) 401-3643

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient

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