Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PAUL JOHN AVERELL, IDC
Active Sole ProprietorMR. PAUL JOHN AVERELL, IDC is a Military/U.S. Coast Guard Outpatient Clinic healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1578593943 is currently active in the NPPES registry. Verify at CMS.
Military/U.S. Coast Guard Outpatient Clinic · VIRGINIA BEACH, VA
Registration Details
- NPI Number
- 1578593943
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2006 (20.08757855005 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1550 TOMCAT BLVDVIRGINIA BEACH, VA, 23460Browse VA providers · Browse ZIP 23460
- Phone
- 7573147198
- Primary Specialty
-
Military/U.S. Coast Guard Outpatient Clinic
261QM1100X
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.