Branch Medical Clinic Corfac

NPI #1134315534 in Camp Lejeune, North Carolina

Provider Information

NPI Number
1134315534
Entity Type
Organization
Organization Name
Branch Medical Clinic Corfac
Subpart
Yes (part of a larger organization)
Parent Organization
NAVAL HOSPITAL CAMP LEJEUNE
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Sep 19, 2007
Last Updated
Dec 20, 2017

Practice Location

Address
100 BREWSTER BLVD
Address 2
CODE 08/ZD
ZIP Code
28547-2538
Phone
(910) 450-4159

Authorized Official

Name
MR. WILLIAM MICHAEL CONDON
Title
NAVY MEDICINE UBO PROGRAM MANAGER
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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