NPI 1720018757
Meddac-Wach
Practice location
- Address
- 5092 Superior Valley CT # B, Fort Irwin, CA 92310-2046
- Phone
- (760) 386-8320
Authorised official
- Name
- Maritsa Irby
- Title
- Lpn
- Phone
- (760) 380-7343
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1720018757
- Entity type
- Organization
- NPI issued
- 4 Jul 2006
- Record last updated
- 22 Aug 2020
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.