MR. Paul John Averell, IDC
NPI #1578593943 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1578593943
- Entity Type
- Individual
- Name
- MR. Paul John Averell, IDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Credential
- IDC
- Enumeration Date
- Jul 3, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1550 TOMCAT BLVD
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23460
- Phone
- (757) 314-7198
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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