Rohn Dale Wallace, SUBMARINE IDC
NPI #1467480939 in Silverdale, Washington
Provider Information
- NPI Number
- 1467480939
- Entity Type
- Individual
- Name
- Rohn Dale Wallace, SUBMARINE IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- SUBMARINE IDC
- Enumeration Date
- Jun 30, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- USS OHIO SSGN 726 GOLD
- City
- Silverdale
- State
- Washington
- ZIP Code
- 98312
- Phone
- (360) 476-8351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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