MR. Jonathon Wayne Waite, IDC
NPI #1356600027 in Groton, Connecticut
Provider Information
- NPI Number
- 1356600027
- Entity Type
- Individual
- Name
- MR. Jonathon Wayne Waite, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- May 15, 2012
- Last Updated
- May 15, 2012
Practice Location
- Address
- 159 TROUT AVE
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06349
- Phone
- (860) 694-2876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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