MR. Jeremiah Loius King, IDC
NPI #1982912903 in Groton, Connecticut
Provider Information
- NPI Number
- 1982912903
- Entity Type
- Individual
- Name
- MR. Jeremiah Loius King, IDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Sep 24, 2010
- Last Updated
- Sep 24, 2010
Practice Location
- Address
- 141 DEWEY AVE
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-3337
- Phone
- (228) 313-6708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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