NPI 1003585399

Desmond Jacob Marroquin

Practitioner Independent Duty Medical Technicians Shaw Afb, SC

Practice location

Address: 420 Polifka Dr, Shaw Afb, SC 29152-5100
Phone: (803) 885-0249

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in South Carolina →

Registry record

NPI: 1003585399
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2021
Record last updated: 26 Nov 2024

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.