Mr. Jay Russell Waite, IDC
Mr. Jay Russell Waite, IDC is an Independent Duty Corpsman in Fallon, Nevada. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
4755 Pasture RdFallon, NV 89496-5000
Phone: (775) 426-3130
Fax: (775) 426-3133
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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 | 1114064789 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | January 31, 2007 |
| Last updated in NPPES | July 8, 2007 |
Other providers in Fallon
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Mr. Christopher Scott Waller, IDC
4755 Pasture Rd Bldg 299, Fallon, NV 89496-3202 · (775) 426-3125