George Conrad Fastenau NAVY IDC

NPI 1386851574 - Military Health Care Provider - 1710I1002X

NPI Details
NPI 1386851574
Gender Male
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2ND CEB BAS 2D MARDIV II MEF
CAMP LEJEUNE NC, 28542, US
Phone (910) 451-7989
Fax
Business Location
5179 COLORADO AVE
CAMP LEJEUNE NC, 28547-1126, US
Phone (910) 451-7989
Fax
Toxanomy
Taxonomy Code 1710I1002X
License State
License Number
Remove 1386851574 NPI Number
 

According to our database, George Conrad Fastenau NAVY IDC NPI is 1386851574, taxonomy code is 1710I1002X George Conrad Fastenau NAVY IDC physically located at 2nd Ceb Bas 2d Mardiv Ii Mef, Camp Lejeune NC, 28542. NPI Number George Conrad Fastenau NAVY IDC has the Individual type.

Sponsored links

1386851574 NPI number is provided on an as is basis without warranty of any kind. 1386851574 is maintained by the National Plan & Provider Enumeration System. The contents of George Conrad Fastenau NAVY IDC are for informational purposes only.