Healthcare Provider Details

I. General information

NPI: 1902840564
Provider Name (Legal Business Name): GARRY VERN BEST U.S. NAVY IDC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USS OHIO (SSGN 726)
FPO AP
96698-2093
US

IV. Provider business mailing address

4058 GRAYBACK DR U12
SILVERDALE WA
98315-9649
US

V. Phone/Fax

Practice location:
  • Phone: 360-476-8351
  • Fax:
Mailing address:
  • Phone: 360-535-7170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1710I1002X
TaxonomyIndependent Duty Corpsman
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: