# US NAVY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154323665
- **Authorized official:** MR. GREGORY J MONK PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (760) 577-6491

## Contact information

- **Practice address:** MCLB BARSTOW, BARSTOW, CA 92311-5050
- **Practice address phone:** (760) 252-0533
- **Mailing address:** PO BOX 110193, BARSTOW, CA 92311-5050
- **Mailing address phone:** (760) 252-0533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | 1060858 | NULL | Yes |

## Other

- **Enumeration date:** 08/15/2005
- **Last updated:** 08/22/2020