NPI 1003117490

Johnny Jamora Stewart, SUBMARINEIDC

Practitioner Independent Duty Corpsman Fpo, AP

Practice location

Address: Uss La Jolla Ssn 701, Fpo, AP 96671-2381
Phone: (808) 590-0362
Mailing address: Uss La Jolla Ssn 701, Fpo, AP 96671

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Armed Forces Pacific →

Registry record

NPI: 1003117490
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2010
Record last updated: 16 Nov 2010

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.