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Organization
MADIGAN ARMY MEDICAL CENTER
Active
Organization
MADIGAN ARMY MEDICAL CENTER
Active
Other names
california medical detachment
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BARNHART (CREDENTIALS MANAGER)
(253) 968-2252
Entity
Organization
Contact information
Practice address
437 CABRILLO ST, SUITE AIA -US ARMY HEALTH CLINIC, PRESIDO OF MONTEREY, CA 93944
(831) 242-7589
(831) 242-6620
Mailing address
9040 REID ST., ATTN. MCHJ-QCR, TACOMA, WA 98431-3278
(253) 986-2252
(253) 986-3278
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05743
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04753
LISCENSE
MD
Enumeration date
04/06/2006
Last updated
08/13/2008
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