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“Independent Duty Corpsman” (Stennis Space Center, MS)

Location: Stennis Space Center, MS
Taxonomy: Independent Duty Corpsman.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1124341763 — MR. TREVOR JAMES TROUT IDC
Practice Location Address:
2603 LOWER GAINESVILLE RD
STENNIS SPACE CENTER MS
39529-0001
Practice Phone: 228-813-4000
1144607979 — JESSICA ANITA REED
Practice Location Address:
2105 ENDEAVOR BLVD
STENNIS SPACE CENTER MS
39529-3048
Practice Phone: 228-813-4000
1164624938 — DAVID ALLEN STANFIELD SFIDC
Practice Location Address:
2606 LOWER GAINESVILLE RD NAVSCIATTS
STENNIS SPACE CENTER MS
39529-0001
Practice Phone: 228-813-4045
1205048501 — JEAN MARC DUBE IDC
Practice Location Address:
SPECIAL BOAT TEAM TWENTY TWO 2603 LOWER GAINESVILLE ROAD
STENNIS SPACE CENTER MS
39529-0001
Practice Phone: 228-813-4000
1285997841 — ROBERT DALE BAKER MILITARY PROVIDER
Practice Location Address:
2603 LOWER GAINESVILLE RD
STENNIS SPACE CENTER MS
39529-0001
Practice Phone: 228-813-4000
1396945853 — MR. THOMAS JAY WALKER IDC
Practice Location Address:
SPECIAL BOAT TEAM 22 2603 LOWER GAINSVILLE RD
STENNIS SPACE CENTER MS
39529-0001
Practice Phone: 228-813-4000
1538421268 — MR. JAMES PATRICK SONNIER IDC
Practice Location Address:
2603 LOWER GAINESVILLE RD
STENNIS SPACE CENTER MS
39529-0001
Practice Phone: 228-813-4000
1598488587 — SEAN PAUL SPARE IDC
Practice Location Address:
2606 LOWER GAINESVILLE RD
STENNIS SPACE CENTER MS
39529-0001
Practice Phone: 228-813-4050
1598945693 — MR. ERIC JAMES MOTZ IDC
Practice Location Address:
2603 LOWER GAINESVILLE ROAD
STENNIS SPACE CENTER MS
39529-0001
Practice Phone: 843-252-8035
1740413558 — BRANDON WAYNE SCHWARTZ I.D.C.
Practice Location Address:
SPECIAL BOAT TEAM 22 2603 LOWER GAINESVILLE ROAD
STENNIS SPACE CENTER MS
39529-0001
Practice Phone: 228-365-2306
1962692111 — MR. FRANCISCO XAVIER EAVENSON IDC
Practice Location Address:
2603 GAINESVILLE ROAD
STENNIS SPACE CENTER MS
39529-0001
Practice Phone: 228-813-4000

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