Healthcare Provider Details

I. General information

NPI: 1679887541
Provider Name (Legal Business Name): NATIONAL NAVAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2010
Last Update Date: 08/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE BUILDING 9, 2ND FLOOR, ROOM 2524
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

8901 WISCONSIN AVE BUILDING 9, 2ND FLOOR, ROOM 2524
BETHESDA MD
20889-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4339
  • Fax: 301-295-4836
Mailing address:
  • Phone: 301-295-4339
  • Fax: 301-295-4836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN MARC STOKES
Title or Position: GPR DIRECTOR
Credential: DDS
Phone: 301-295-4339