Organization
BRANCH MEDICAL CLINIC LITTLE CREEK
Active
Parent organization
NAVAL MEDICAL CENTER PORTSMOUTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL MEDICAL CENTER PORTSMOUTH
Authorized official
MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
(240) 401-3643
Entity
Organization
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5297
Mailing address
1035 NIDER BLVD, SUITE 100, NORFOLK, VA 23521-2701
(757) 314-7301
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
12/20/2017
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