Individual
EDWARD BANGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
180 HOSPITAL CORPS BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(610) 449-1100
(910) 450-4194
Mailing address
180 HOSPITAL CORPS BLVD, NAVAL HOSPITAL / INTREPID SPIRIT, CAMP LEJEUNE, NC 28547-2538
(610) 449-1100
(910) 450-4194
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002330L
PA
Other
Enumeration date
08/01/2006
Last updated
11/08/2016
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