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Organization
BRANCH MEDICAL CLINIC BRIDGEPORT
Active
Organization
BRANCH MEDICAL CLINIC BRIDGEPORT
Active
Parent organization
NAVAL HOSPITAL TWENTYNINE PALMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL HOSPITAL TWENTYNINE PALMS
Authorized official
WILLIAM M CONDON (BUMED UBO)
(240) 401-3643
Entity
Organization
Contact information
Practice address
MWTC BLDG 3005, BRIDGEPORT, CA 93517
(760) 830-2498
(760) 830-2182
Mailing address
1145 STURGESS STREET, BOX 788250, ATTN: FINANCIAL TECHNICIAN, TWENTYNINE PALMS, CA 92277-8250
(760) 830-2498
(760) 830-2182
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/11/2007
Last updated
10/16/2017
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