Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN WALLACE SR., IDC
ActiveJOHN WALLACE SR., IDC is a Independent Duty Corpsman healthcare provider located in NORFOLK, Virginia. NPI 1316926066 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · NORFOLK, VA
Registration Details
- NPI Number
- 1316926066
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2006 (20.554884681724 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
300 E MAIN STSUITE 1000NORFOLK, VA, 235101753Browse VA providers · Browse ZIP 23510
- Phone
- 7576284347
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in NORFOLK, VA
| Name | Credential | NPI |
|---|---|---|
| MR. WALTER MERRILLE MCCORKILL | IDC USN | 1710959010 |
| MR. FRANKLIN JAY JENSEN JR. | IDC | 1366415614 |
| MR. NELSONCRIS CAPARAS DELACRUZ | I.D.C. | 1730156134 |
| MR. EDWARD ROBIN SPEARMAN | — | 1639146632 |
| MR. RICARDO GARZA | I.D.C. | 1427025485 |
| ROBERT C BROWN | — | 1598724684 |
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.