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Organization
BRANCH MEDICAL CLINIC EDSON RANGE
Active
Organization
BRANCH MEDICAL CLINIC EDSON RANGE
Active
Parent organization
NAVAL HOSPITAL CAMP PENDELTON
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL HOSPITAL CAMP PENDELTON
Authorized official
WILLIAM M CONDON (BUMED UBO)
(240) 401-3643
Entity
Organization
Contact information
Practice address
STUART MESA RD, BLDG 310514, BOX 555191, CAMP PENDLETON, CA 92055-5191
(760) 725-1621
(760) 725-1661
Mailing address
PO BOX 555191, FIN MGMT CODE 0814, CAMP PENDLETON, CA 92055-5191
(760) 725-1621
(760) 725-1661
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/07/2007
Last updated
10/16/2017
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