Branch Medical Clinic Indian Head
NPI #1841498417 in Indian Head, Maryland
Provider Information
- NPI Number
- 1841498417
- Entity Type
- Organization
- Organization Name
- Branch Medical Clinic Indian Head
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NAVAL HEALTH CLINIC PATUXENT RIVER
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Jul 5, 2007
- Last Updated
- Dec 19, 2017
Practice Location
- Address
- 4141 W WILSON RD
- Address 2
- SUITE105
- City
- Indian Head
- State
- Maryland
- ZIP Code
- 20640-5162
- Phone
- (301) 744-4601
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 Outpatient — Military/U.S. Coast Guard Outpatient |
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