David Grant Medical Center
Military Hospital in Travis Afb, CA. Organization (NPI-2).
NPI number1689608341
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1689608341
- Entity type
- Organization (NPI-2)
- Legal business name
- David Grant Medical Center
- Organization subpart
- No
- Enumeration date
- Jul 10, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 286500000X | Military Hospital | 02002613A | IN | Yes |
Practice location
101 Bodin CirTravis Afb, CA 94535-1809
Phone 707-423-7611 · Fax 707-423-3260
Mailing address
101 Bodin CirTravis Afb, CA 94535-1809
Phone 707-423-7611 · Fax 707-423-3260
Authorized official
Linda L Lawrence
Chief Of Staff
7074237622
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