Branch Medical Clinic Gulfport
NPI #1275733644 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1275733644
- Entity Type
- Organization
- Organization Name
- Branch Medical Clinic Gulfport
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NAVAL HOSPITAL PENSACOLA
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Jul 23, 2007
- Last Updated
- Mar 10, 2022
Practice Location
- Address
- 5502 MARVIN SHIELDS BLVD
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501
- Phone
- (850) 505-6157
Authorized Official
- Name
- WILLIAM M CONDON
- Title
- DHA FINANCIAL MANAGER
- 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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