Organization
NAVAL HEALTH CLINIC PATUXENT RIVER
Active
Parent organization
NAVAL HEALTH CLINIC PATUXENT RIVER
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL HEALTH CLINIC PATUXENT RIVER
Authorized official
MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
(240) 401-3643
Entity
Organization
Contact information
Practice address
192 CASSEE ROAD, BLDG 192, DAHLGREN, VA 22448-5000
(540) 653-8241
Mailing address
8901 WISCONSIN AVE, PSC BOX 509 CODE 6300, BETHESDA, MD 20889-0001
(301) 295-4934
(301) 295-1299
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
11/08/2024
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