NPI 1104202662
US Navy
Practice location
- Address
- 1 Pinckney Blvd, Beaufort, SC 29902-6122
- Phone
- (843) 228-5994
- Fax
- (843) 228-5728
- Mailing address
- 7034 W Aire Libre Ave, Peoria, AZ 85382-3963
Authorised official
- Name
- George Leigh Walrath
- Title
- Dentist
- Phone
- (626) 321-2334
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1104202662
- Entity type
- Organization
- NPI issued
- 7 Aug 2015
- Record last updated
- 7 Aug 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.