Edward Regis Neville, SOIDC - Fpo, AP

Edward Regis Neville, SOIDC

Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center in Fpo, N/A

NPI 1053082651

Edward Regis Neville is a Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center based in Fpo, and is specialized in Military Ambulatory Procedure Visits Operational (Transportable). Edward Regis Neville practices in Fpo, and has the professional credentials of SOIDC. The NPI Number for Edward Regis Neville is 1053082651 and holds a License No. (N/A).

The current practice location address for Edward Regis Neville is 3D Recon Bas, Fpo, and can be reached out via phone at 917-943-0666.

Location: 3D Recon Bas, Fpo, , 96389-6189

NPI Number

1053082651

Provider Name

Edward Regis Neville

Credential

SOIDC

Provider Entity Type

Individual

Gender

Male

Address

3D Recon Bas, Fpo, , 96389-6189

Phone Number

917-943-0666

Fax Number

Provider Enumeration Date

09/23/2021

Last Update Date

03/10/2024

Address

3D Recon Bas

City

Fpo

State

Zip

96389

Phone Number

917-943-0666

Fax Number

Address

3D Recon Bas

City

Fpo

State

Zip

96389

Phone Number

917-943-0666

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

(New York)

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Military Ambulatory Procedure Visits Operational (Transportable)

Taxonomy

261QM1103X

License No.

()

Definition

"Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals.

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