NPI 1316147457

Michael Waters, IDC

Practitioner Independent Duty Corpsman Thurmont, MD

Practice location

Address: 14900 Park Central Road Naval Support Facility, Thurmont, MD 21788
Phone: (301) 271-1460
Mailing address: 10384 Chamberlin Court East, Waldorf, MD 20601

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1316147457
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2007
Record last updated: 18 Jul 2007

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.