Mr. Paul John Averell, IDC
Mr. Paul John Averell, IDC is a Military/U.S. Coast Guard Outpatient Clinic/Center in Virginia Beach, Virginia. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1550 Tomcat BlvdVirginia Beach, VA 23460
Phone: (757) 314-7198
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Specialties & licences
| Military/U.S. Coast Guard Outpatient Clinic/Center (primary) | Taxonomy 261QM1100X |
|---|
Record details
| NPI number | 1578593943 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | July 3, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 2053 Schubert Dr, Virginia Beach, VA 23454-6644 |
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