Bobby O Thomas, IDC Valid NPI
Individual provider · Independent Duty Corpsman · Norfolk, VA
- NPI
- 1629301361
- Type
- Individual (Type 1)
- Primary specialty
- Independent Duty Corpsman (Military Health Care Provider)
- Specialty group
- Other Service Providers
- Taxonomy code
- 1710I1002X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2009-09-14
- Last updated
- 2009-09-14
Practice location
1300 Helicopter Rd, Naval Special Warfare Support Activity Two
Norfolk, VA 23521-2936
(757) 763-2508