Edward Regis Neville, SOIDC
Edward Regis Neville, SOIDC is a Military Health Care Provider in FPO, Armed Forces Pacific. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address may be wrong
3D Recon BasFPO, AP 96389
Phone: (917) 943-0666
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center (primary) | Taxonomy 261QM1103X |
|---|---|
| Military Health Care Provider | Taxonomy 171000000X |
| Military Health Care Provider | Taxonomy 171000000X (NY) |
Record details
| NPI number | 1053082651 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SOIDC |
| Sole proprietor | Yes |
| NPI enumerated | September 23, 2021 |
| Last updated in NPPES | September 23, 2021 |
| Certification date | April 3, 2021 |
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