Organization
BRANCH MEDICAL CLINIC MCRD
Active
Parent organization
NAVAL MEDICAL CENTER SAN DIEGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL MEDICAL CENTER SAN DIEGO
Authorized official
MR. WILLIAM M CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
(240) 401-3643
Entity
Organization
Contact information
Practice address
35000 GUADALCANAL ST, BRANCH MEDICAL CLINIC MCRD, SAN DIEGO, CA 92140
(619) 524-4102
Mailing address
35000 GUADALCANAL ST, BMC MCRD, SAN DIEGO, CA 92145
(619) 524-4045
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2008
Last updated
04/04/2019
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