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Organization

DAVID GRANT MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA L LAWRENCE (CHIEF OF STAFF)
(707) 423-7622
Entity
Organization

Contact information

Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7611
(707) 423-3260
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7611
(707) 423-3260

Taxonomy

Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
02002613A
IN

Other

Enumeration date
07/10/2006
Last updated
07/21/2022
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