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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDWARD REGIS NEVILLE, SOIDC

Active Sole Proprietor

EDWARD REGIS NEVILLE, SOIDC is a 261QM1103X healthcare provider located in FPO, APO/FPO Pacific. NPI 1053082651 is currently active in the NPPES registry. Verify at CMS.

261QM1103X · FPO, AP

Registration Details

NPI Number
1053082651
Provider Type
Individual
Gender
Male
NPI Issued
Sep 23, 2021 (4.7120635347449 yrs)
Last Updated
Sep 23, 2021
Sole Proprietor
Yes

Practice Information

Address
3D RECON BAS
FPO, AP, 96389
Browse AP providers · Browse ZIP 96389
Phone
9179430666
Primary Specialty
261QM1103X
261QM1103X
Additional Specialty
Military Health Care Provider
Additional Specialty
261QM1103X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.