NPI 1245014737

Bailey J Duffell

Practitioner Independent Duty Corpsman Chesapeake, VA

Practice location

Address: 1210 Shotgun Road, Chesapeake, VA 23322
Phone: (908) 947-8889
Mailing address: 117 Gateway CT APT 305, Chesapeake, VA 23320-4594

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1245014737
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2023
Record last updated: 24 Aug 2023

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.