NPI 1205048501

Jean Marc Dube, IDC

Practitioner Independent Duty Corpsman Stennis Space Center, MS

Practice location

Address: Special Boat Team Twenty Two 2603 Lower Gainesville Road, Stennis Space Center, MS 39529-0001
Phone: (228) 813-4000
Fax: (228) 813-4021

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Mississippi →

Registry record

NPI: 1205048501
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 May 2007
Record last updated: 24 Apr 2009

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.