MR. Steven Lee Undheim, IDC

NPI #1003357559 in Jacksonville, Florida

Provider Information

NPI Number
1003357559
Entity Type
Individual
Name
MR. Steven Lee Undheim, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Mar 16, 2017
Last Updated
Mar 16, 2017

Practice Location

Address
2080 CHILD ST
State
Florida
ZIP Code
32214-5005
Phone
(904) 546-7094

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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