Whalio Doctors

NPI 1053082651

Edward Regis Neville, SOIDC

Practitioner Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center Fpo, AP

Practice location

Address
3d Recon Bas, Fpo, AP 96389
Phone
(917) 943-0666
Mailing address
3d Recon Bn Aid Station, Fpo, AP 96389-6189

Registered specialties (3)

Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QM1103X
Military Health Care Provider
Other Service Providers Taxonomy 171000000X
Military Health Care Provider
Other Service Providers Taxonomy 171000000X

Registry record

NPI
1053082651
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Sep 2021
Record last updated
23 Sep 2021

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.