NPI 1043502701

Norman Steven Reeves, SUBMARINEIDC

Practitioner Independent Duty Corpsman Groton, CT

Practice location

Address: 159 Trout Ave., Groton, CT 06349-5159
Phone: (860) 851-1929
Mailing address: Numi Bldg 159 Nlon, Apo, AE 06349-5159

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1043502701
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2011
Record last updated: 13 May 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.