U.s. Navy
NPI #1477564870 in Groton, Connecticut
Provider Information
- NPI Number
- 1477564870
- Entity Type
- Organization
- Organization Name
- U.s. Navy
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Enumeration Date
- Aug 10, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- BOX 159 NAVSUBASENLON
- Address 2
- NAVAL UNDERSEA MEDICAL INSTITUTE
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-5159
- Phone
- (860) 694-2876
Authorized Official
- Name
- EDWARD THEODORE MILLER, IDC
- Title
- INDEPENDENT DUTY CORPSMAN
- Phone
- (860) 634-2876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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