Shepley Allen Reimer, IDC Valid NPI

Individual provider · Independent Duty Corpsman · Fort Sam Houston, TX

NPI

1912208216

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

2010-11-03

Last updated

2010-11-03