MR. Ernest Theophilus Quimby IV, IDC

NPI #1083980932 in Bethesda, Maryland

Provider Information

NPI Number: 1083980932
Entity Type: Individual
Name: MR. Ernest Theophilus Quimby IV, IDC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: IDC
Enumeration Date: Mar 26, 2012
Last Updated: Apr 30, 2015

Practice Location

Address: WALTER REED NMMC
Address 2: BLDG 1 SUITE 5103 8955 WOOD ROAD
City: Bethesda
State: Maryland
ZIP Code: 20889-5628
Phone: (202) 319-4440

Specialties & Taxonomy Codes

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

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