Branch Medical Clinic Belle Chasse

NPI #1629278064 in New Orleans, Louisiana

Provider Information

NPI Number
1629278064
Entity Type
Organization
Organization Name
Branch Medical Clinic Belle Chasse
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 24, 2007
Last Updated
Nov 6, 2017

Practice Location

Address
400 RUSSELL AVE
Address 2
BLDG 41
ZIP Code
70143-5077
Phone
(504) 678-3679

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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