NPI 1043752066

Philip Trent, IDC

Practitioner Independent Duty Corpsman Fpo, AP

Practice location

Address: Uss O'Kane Ddg,box 1, Unit 100189, Fpo, AP 96674
Phone: (808) 471-0741
Mailing address: 2615 Kilmarnock CT, Matthews, NC 28105-4083

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1043752066
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2016
Record last updated: 8 Nov 2016

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.