NPI 1043486855

Tadeo E O'Brien, IDC

Practitioner Independent Duty Corpsman Virginia Beach, VA

Practice location

Address: 1840 Gator Blvd, Virginia Beach, VA 23459-8931
Phone: (757) 202-1362

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1043486855
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2008
Record last updated: 14 Sep 2011

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.