NPI 1952761959

John David Pascual, IDC

Practitioner Independent Duty Corpsman Albany, GA

Practice location

Address: 814 Radford Blvd Bldg 7000, Albany, GA 31704-1130
Phone: (229) 639-7886

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1952761959
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2016
Record last updated: 3 Mar 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.