U S Navy

NPI 1568621787 - Clinic/Center - 261QV0200X

NPI Details
NPI 1568621787
Enumeration Date 06/03/2008
Last Updated 06/03/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LARRY JASON LARRY
Position INDEPENDENT DUTY CORPSMAN
Phone (757) 953-3774
Fax
Practice Location
1550 TOMCAT BLVD
SUITE 150
VIRGINIA BEACH VA, 23460-2218, US
Phone (757) 953-3774
Fax
Business Location
1550 TOMCAT BLVD
SUITE 150
VIRGINIA BEACH VA, 23460-2218, US
Phone (757) 953-3774
Fax
Toxanomy
Taxonomy Code 261QV0200X
License State
License Number
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According to our database, U S Navy NPI is 1568621787, taxonomy code is 261QV0200X U S Navy physically located at 1550 Tomcat Blvd, Virginia Beach VA, 23460-2218. NPI Number 1033115704 has the healthcare provider type.

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1568621787 NPI number is provided on an as is basis without warranty of any kind. 1568621787 is maintained by the National Plan & Provider Enumeration System. The contents of U S Navy are for informational purposes only.