MR. THEODORE HARRISON JR., IDC

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1972791218

Practice Address

3020 SILVER CHARM CIR
Suffolk, VA 23435

Phone: (757) 375-5017

Specialties

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

Frequently Asked Questions

NPI 1972791218 is the National Provider Identifier for MR. THEODORE HARRISON JR., IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Suffolk, VA. This NPI was enumerated on October 11, 2007.
MR. THEODORE HARRISON JR., IDC practices at 3020 SILVER CHARM CIR, Suffolk, VA 23435.

Quick Facts

NPI
1972791218
Type
Individual
Enumerated
Oct 11, 2007
Last Updated
Oct 11, 2007

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