Organization
US NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY J MONK PA-C (PHYSICIAN ASSISTANT)
(760) 577-6491
Entity
Organization
Contact information
Practice address
MCLB BARSTOW, BARSTOW, CA 92311-5050
(760) 252-0533
Mailing address
PO BOX 110193, BARSTOW, CA 92311-5050
(760) 252-0533
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
1060858
—
Other
Enumeration date
08/15/2005
Last updated
08/22/2020
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