NPI Index

JASON DUTY, US NAVY DIVE IDC

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1487932141

Practice Address

1004 HERMITAGE RD
JOINT EXPEDITIONARY BASE LITTLE CREEK BLDG 2052
Virginia Beach, VA 23459

Phone: (740) 974-2197

Specialties

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

Frequently Asked Questions

NPI 1487932141 is the National Provider Identifier for JASON DUTY, US NAVY DIVE IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Virginia Beach, VA. This NPI was enumerated on July 29, 2011.
JASON DUTY, US NAVY DIVE IDC practices at 1004 HERMITAGE RD, JOINT EXPEDITIONARY BASE LITTLE CREEK BLDG 2052, Virginia Beach, VA 23459.

Quick Facts

NPI
1487932141
Type
Individual
Enumerated
Jul 29, 2011
Last Updated
Jul 29, 2011

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