Reginald Granger, IDC
Reginald Granger, IDC is an Independent Duty Corpsman in FPO, Armed Forces Pacific. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address may be wrong
Opc 561 Box 15FPO, AP 96310-9001
Phone: (315) 255-8388
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1780415141 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2024 |
| Last updated in NPPES | February 27, 2025 |
| Certification date | February 24, 2025 |
| Mailing address | Opc 561, Box 15, Fpo, AP 96310-9001 |
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