Branch Medical Clinic Chesapeake

NPI #1528104494 in Portsmouth, Virginia

Provider Information

NPI Number
1528104494
Entity Type
Organization
Organization Name
Branch Medical Clinic Chesapeake
Subpart
Yes (part of a larger organization)
Parent Organization
NAVAL MEDICAL CENTER PORTSMOUTH
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Jan 29, 2007
Last Updated
Nov 13, 2017

Practice Location

Address
620 JOHN PAUL JONES CIR
ZIP Code
23708-2111
Phone
(757) 953-5297

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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