1205800109 2 MDSS SGSR

Military/U.S. Coast Guard Outpatient Clinic/Center

Active

Basic Information

Organization Name
2 MDSS SGSR
Enumeration Date
February 15, 2006
Last Update
March 12, 2025
Authorized Official
WILLIAM MICHAEL CONDON
DEFENSE HEALTH AGENCY DHA FINANCIAL
Phone: (240) 401-3643

Practice Location

Address
243 CURTISS RD
SUITE 100
BARKSDALE AFB, LA 711102425
Phone
(318) 456-6055
Fax
(318) 456-6065

Mailing Address

Address
243 CURTISS RD
SUITE 100
BARKSDALE AFB, LA 711102425
Phone
(318) 456-6055
Fax
(318) 456-6065

Specialties & Taxonomies

Specialty Code Classification License State Primary
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure
261QM1101X Clinic/Center N/A N/A No
Military/U.S. Coast Guard Pharmacy
332000000X Military/U.S. Coast Guard Pharmacy N/A N/A No
Military/U.S. Coast Guard Outpatient Clinic/Center
Military/U.S. Coast Guard Outpatient
261QM1100X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
1929299 01 LA NCPDP

Frequently Asked Questions

What is 2 MDSS SGSR's NPI number?
2 MDSS SGSR's NPI number is 1205800109.
Which doctor has NPI number 1205800109?
The doctor with NPI number 1205800109 is 2 MDSS SGSR.
What is 2 MDSS SGSR's practice address?
2 MDSS SGSR's practice address is 243 CURTISS RD, SUITE 100, BARKSDALE AFB, LA, 711102425.
Which doctor practices at 243 CURTISS RD, SUITE 100, BARKSDALE AFB, LA, 711102425?
2 MDSS SGSR practices at 243 CURTISS RD, SUITE 100, BARKSDALE AFB, LA, 711102425.
What is 2 MDSS SGSR's phone number?
2 MDSS SGSR's phone number is (318) 456-6055.
Who is (318) 456-6055?
(318) 456-6055 is the phone number for 2 MDSS SGSR.
What is 2 MDSS SGSR's specialty?
2 MDSS SGSR's specialty is Military/U.S. Coast Guard Outpatient Clinic/Center.
What type of doctor is 2 MDSS SGSR?
2 MDSS SGSR is a Military/U.S. Coast Guard Outpatient Clinic/Center.
Is 2 MDSS SGSR a Military/U.S. Coast Guard Outpatient?
Yes, 2 MDSS SGSR is a Military/U.S. Coast Guard Outpatient.
Is 2 MDSS SGSR still practicing?
Yes, 2 MDSS SGSR is currently practicing.
Is 2 MDSS SGSR accepting new patients?
2 MDSS SGSR may be accepting new patients. Please call their office at (318) 456-6055 to inquire about availability.
Is NPI 1205800109 still active?
Yes, NPI 1205800109 is currently active.
Where does 2 MDSS SGSR practice?
2 MDSS SGSR practices in BARKSDALE AFB, LA.