Johnny Jamora Stewart, SUBMARINE-IDC
NPI #1003117490
Provider Information
- NPI Number
- 1003117490
- Entity Type
- Individual
- Name
- Johnny Jamora Stewart, SUBMARINE-IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- SUBMARINE-IDC
- Enumeration Date
- Nov 16, 2010
- Last Updated
- Nov 16, 2010
Practice Location
- Address
- USS LA JOLLA SSN 701
- City
- Fpo
- State
- AP
- ZIP Code
- 96671-2381
- Phone
- (808) 590-0362
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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