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Mr. Paul John Averell, IDC
Military/U.S. Coast Guard Outpatient Clinic/Center in Virginia Beach, Virginia
NPI 1578593943

Paul John Averell is a Military/U.S. Coast Guard Outpatient Clinic/Center based in Virginia Beach, VA and is specialized in Military/U.S. Coast Guard Outpatient. Paul John Averell practices in Virginia Beach, VA and has the professional credentials of IDC. The NPI Number for Paul John Averell is 1578593943 and holds a License No. (Virginia).

The current practice location address for Paul John Averell is 1550 Tomcat Blvd, Virginia Beach, VA and can be reached out via phone at 757-314-7198. You can also correspond with Paul John Averell through the mailing address at 2053 SCHUBERT DR, VIRGINIA BEACH, VA - 23454-6644 (mailing address contact number: 757-314-7198).

Location: 1550 Tomcat Blvd, Virginia Beach, VA, 23454-6644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578593943
Provider Name
Paul John Averell
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
1550 Tomcat Blvd, Virginia Beach, VA, 23454-6644
Phone Number
757-314-7198
Fax Number
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1550 Tomcat Blvd
City
Virginia Beach
State
Virginia
Zip
23460
Phone Number
757-314-7198
Fax Number
person
Provider Business Mailing Address Details
Address
2053 Schubert Dr
City
Virginia Beach
State
Virginia
Zip
23454-6644
Phone Number
757-314-7198
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military/U.S. Coast Guard Outpatient
Taxonomy
261QM1100X
License No.
()
Definition
The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
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