NPI Index

MR. CLIFFORD MOUDY II, I.D.C.

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1679541676

Practice Address

3001A SIXTH ST
NAVAL HOSPITAL GREAT LAKES
Great Lakes, IL 60088

Phone: (847) 688-2616

Specialties

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

Frequently Asked Questions

NPI 1679541676 is the National Provider Identifier for MR. CLIFFORD MOUDY II, I.D.C., a Military Health Care Provider - Independent Duty Corpsman provider located in Great Lakes, IL. This NPI was enumerated on March 8, 2006.
MR. CLIFFORD MOUDY II, I.D.C. practices at 3001A SIXTH ST, NAVAL HOSPITAL GREAT LAKES, Great Lakes, IL 60088.

Quick Facts

NPI
1679541676
Type
Individual
Enumerated
Mar 8, 2006
Last Updated
Jul 8, 2007

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