MR. Thomas Martin Smalls II, IDC

NPI #1982885182 in Yorktown, Virginia

Provider Information

NPI Number: 1982885182
Entity Type: Individual
Name: MR. Thomas Martin Smalls II, IDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: IDC
Enumeration Date: Nov 16, 2007
Last Updated: Nov 16, 2007

Practice Location

Address: 1808 SHUPPER DR
City: Yorktown
State: Virginia
ZIP Code: 23691-5112
Phone: (757) 637-9202

Specialties & Taxonomy Codes

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

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