NPI 1154569572
United States Navy
Practice location
- Address
- 7032 Star Dune Ave, Twentynine Palms, CA 92277-3090
- Phone
- (559) 707-0406
- Mailing address
- 7032 Star Dune Ave, Twentynine Palms, CA 92277
Authorised official
- Name
- Justin Paul Vecere
- Title
- Surface Force Independent Duty Corp
- Phone
- (559) 707-0406
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1154569572
- Entity type
- Organization
- NPI issued
- 22 Jan 2009
- Record last updated
- 22 Jan 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.