Elliott Bennett Pippen, IDC
Elliott Bennett Pippen, IDC is an Independent Duty Corpsman in Virginia Beach, Virginia. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1804 Gravenhurst DrVirginia Beach, VA 23464-8656
Phone: (757) 373-9095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1710231600 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | October 31, 2012 |
| Last updated in NPPES | October 31, 2012 |
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