MRS. Tammy Archibald, IDC

NPI #1043493018 in Norfolk, Virginia

Provider Information

NPI Number: 1043493018
Entity Type: Individual
Name: MRS. Tammy Archibald, IDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: IDC
Enumeration Date: Dec 12, 2007
Last Updated: Dec 12, 2007

Practice Location

Address: 1035 NIDER BLVD STE 100
City: Norfolk
State: Virginia
ZIP Code: 23521-2701
Phone: (757) 953-8275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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