David M Northern M.D.

NPI 1164749875 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1164749875
Gender Male
Enumeration Date 04/21/2010
Last Updated 09/30/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
307 BOATNER RD STE 114
EGLIN AFB FL, 32542-1302, US
Phone (719) 330-6388
Fax
Business Location
307 BOATNER RD STE 114
EGLIN AFB FL, 32542-1302, US
Phone (719) 330-6388
Fax (228) 376-0137
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. David M Northern M.D. NPI is 1164749875, taxonomy code is 390200000X David M Northern M.D. physically located at 307 Boatner Rd Ste 114, Eglin Afb FL, 32542-1302. NPI Number David M Northern M.D. has the Individual type.

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1164749875 NPI number is provided on an as is basis without warranty of any kind. 1164749875 is maintained by the National Plan & Provider Enumeration System. The contents of David M Northern M.D. are for informational purposes only.