L.v. Hall JR., IDC

NPI #1578531992 in Mayport, Florida

Provider Information

NPI Number: 1578531992
Entity Type: Individual
Name: L.v. Hall JR., IDC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: IDC
Enumeration Date: Mar 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: USS SAMUEL B. ROBERTS (FFG 58)
Address 2: FPO AA
City: Mayport
State: Florida
ZIP Code: 34092-1512
Phone: (904) 270-6230

Specialties & Taxonomy Codes

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

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