John Charles Averell, IDC Valid NPI
Individual provider · Independent Duty Corpsman · Apo, AP
- NPI
- 1255589784
- 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
- No
- Enumerated
- 2008-09-09
- Last updated
- 2008-09-09
Practice location
Naval Medical Center San Diego, Bldg 14
Apo, AP 92134
(619) 532-5110