NPI Index

MR. RANDY BREIDEL, SUB IDC

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1265401673

Practice Address

DAM NECK ANNEX
1885 TERRIER AVE STE 100
Virginia Beach, VA 23461

Phone: (757) 314-7221

Specialties

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

Frequently Asked Questions

NPI 1265401673 is the National Provider Identifier for MR. RANDY BREIDEL, SUB IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Virginia Beach, VA. This NPI was enumerated on March 16, 2006.
MR. RANDY BREIDEL, SUB IDC practices at DAM NECK ANNEX, 1885 TERRIER AVE STE 100, Virginia Beach, VA 23461.

Quick Facts

NPI
1265401673
Type
Individual
Enumerated
Mar 16, 2006
Last Updated
Jul 21, 2022

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