Thomas Carter Randolph IDC

NPI 1053560995 - Military Health Care Provider - 1710I1002X

NPI Details
NPI 1053560995
Gender Male
Enumeration Date 09/16/2008
Last Updated 09/16/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
USS ELROD FFG 55
FPO AE, 09568-1509, US
Phone (757) 444-2000
Fax
Business Location
USS ELROD FFG 55
FPO AE, 09568-1509, US
Phone (757) 444-2000
Fax
Toxanomy
Taxonomy Code 1710I1002X
License State
License Number
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According to our database, Mr. Thomas Carter Randolph IDC NPI is 1053560995, taxonomy code is 1710I1002X Thomas Carter Randolph IDC physically located at Uss Elrod Ffg 55, Fpo AE, 09568-1509. NPI Number Thomas Carter Randolph IDC has the Individual type.

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1053560995 NPI number is provided on an as is basis without warranty of any kind. 1053560995 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Carter Randolph IDC are for informational purposes only.