MR. JAY WAITE, IDC

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1114064789

Practice Address

4755 PASTURE RD
Fallon, NV 89496

Phone: (775) 426-3130

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Corpsman 1710I1002X Yes -

Frequently Asked Questions

NPI 1114064789 is the National Provider Identifier for MR. JAY WAITE, IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Fallon, NV. This NPI was enumerated on January 31, 2007.
MR. JAY WAITE, IDC practices at 4755 PASTURE RD, Fallon, NV 89496.

Quick Facts

NPI
1114064789
Type
Individual
Enumerated
Jan 31, 2007
Last Updated
Jul 8, 2007

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