Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK THAMMAVONGSA
ActiveJACK THAMMAVONGSA is a Independent Duty Corpsman healthcare provider located in FPO, APO/FPO Pacific. NPI 1174848683 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · FPO, AP
Registration Details
- NPI Number
- 1174848683
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2010 (16.191404697548 yrs)
- Last Updated
- Mar 29, 2010
Practice Information
- Address
-
3D MED BN, 3D MLGH&S CO UNIT #38447FPO, AP, 966048447Browse AP providers · Browse ZIP 96604
- Phone
- 3156234960
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in FPO, AP
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL L. BOWE-RAHMING | HMC | 1962479253 |
| MR. ANTONY RICHARD DARLING | USN IDC | 1063489250 |
| MR. ARIELITO QUICHO ARTILLAGA | IDC | 1396712410 |
| JOSEPH FRIDDLE | — | 1386612117 |
| MARCUS LAMAR GRAY | — | 1427026566 |
| DANIEL STEWART | — | 1295704369 |
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.