Most Relevant Information
Provider Data
| NPI Number: | 1003528324 |
| Provider Name: | MORGAN MARIE MANLEY IDC |
| Entity Type: | Individual |
| Taxonomy Code: | 1710I1002X |
| Specialty: | Military Health Care Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/19/2022 |
| Last Updated: | 06/09/2023 |
Provider Practice Location
22 AREA MEDICAL CLINIC
BLDG 22190
CAMP PENDLETON
CA
920555750
Practice Location Phone/Fax
| Phone: | 3307498505 |
| Fax: |
Provider Mailing Location
1802 WESTWARD HO CIR
EL CAJON
CA
920213721
Provider Mailing Phone/Fax
| Phone: | 3307498505 |
| Fax: |