GEORGE FASTENAU, NAVY IDC

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1386851574

Practice Address

2ND CEB BAS 2D MARDIV II MEF
Camp Lejeune, NC 28542

Phone: (910) 451-7989

Specialties

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

Frequently Asked Questions

NPI 1386851574 is the National Provider Identifier for GEORGE FASTENAU, NAVY IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Camp Lejeune, NC. This NPI was enumerated on May 17, 2007.
GEORGE FASTENAU, NAVY IDC practices at 2ND CEB BAS 2D MARDIV II MEF, Camp Lejeune, NC 28542.

Quick Facts

NPI
1386851574
Type
Individual
Enumerated
May 17, 2007
Last Updated
Jul 8, 2007

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