Allen Cornell Richmond IDMT

NPI 1790916260 - Military Health Care Provider - 1710I1003X

NPI Details
NPI 1790916260
Gender Male
Enumeration Date 08/01/2009
Last Updated 08/01/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
PSC 41 BOX 6506
APO AE, 09464-0066, US
Phone 011441842827682
Fax
Business Location
PSC 41 BOX 6506
APO AE, 09464-0066, US
Phone 011441842827682
Fax
Toxanomy
Taxonomy Code 1710I1003X
License State
License Number
Remove 1790916260 NPI Number
 

According to our database, Mr. Allen Cornell Richmond IDMT NPI is 1790916260, taxonomy code is 1710I1003X Allen Cornell Richmond IDMT physically located at Psc 41 Box 6506, Apo AE, 09464-0066. NPI Number Allen Cornell Richmond IDMT has the Individual type.

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1790916260 NPI number is provided on an as is basis without warranty of any kind. 1790916260 is maintained by the National Plan & Provider Enumeration System. The contents of Allen Cornell Richmond IDMT are for informational purposes only.