NPI 1205275138

Bavaria Meddac

Organisation Primary Care Clinic/Center Apo, AE

Practice location

Address: Cmr 459 Box 19908, Apo, AE 09139-0020
Phone: (314) 469-1750

Authorised official

Name: Vincent Bentley
Title: Medical Director
Phone: (314) 469-1750

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 4704257576 (MI)

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Registry record

NPI: 1205275138
Entity type: Organization
NPI issued: 25 Jun 2013
Record last updated: 25 Jun 2013

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.