MEDICARE: JASON C SPURGERS IDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1710I1002X	Independent Duty Corpsman

General Provider Information

NPI Number	:	1053380303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON C SPURGERS IDC

Provider Business Mailing Address
First Line	:	167 PLUMERIA
Second Line	:
City	:	SANTA RITA
State	:	GU
Zip	:	96915
Country	:	US
Telephone Number	:	671-565-4071
Fax Number	:

Provider Business Practice Location Address
First Line	:	167 PLUMERIA
Second Line	:
City	:	SANTA RITA
State	:	GU
Zip	:	96915
Country	:	US
Telephone Number	:	671-565-4071
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	12/09/2008

Similar Medicare Providers

1104897818 — MR. AMIT SOOD MS, RD, CSSD, PMP
Practice Location Address:

6 MOUNT LAMLAM ST
SANTA RITA, GU
96915-1426

Practice Phone: 671-486-6012
Practice Fax:

1679672620 — NH GUAM
Practice Location Address:

APRA HARBOR NAVAL PHARMACY GUAM , 1780 MARINE CORPS DRIVE
SANTA RITA, GU
96915

Practice Phone: 671-335-4804
Practice Fax: 671-355-4033

1932312097 — MR. SCOTT DAVID GRAHAM HM IDC
Practice Location Address:

EODMU 5 UNIT 25499 , 2112 SUMAY COVE DRIVE
SANTA RITA, GAUM
96915

Practice Phone: 671-339-8171
Practice Fax: 671-339-8179

1003009267 — CRAIG STEVEN BOSLEY
Practice Location Address:

10 OROTE POINT RD
SANTA RITA, GU
96915-1130

Practice Phone: 671-564-9098
Practice Fax:

1053591313 — DENNIS W DAVIS IDC
Practice Location Address:

USS BUFFALO (SSN 715) , COMNAVMARIANAS
SANTA RITA, GU
96915

Practice Phone: 671-564-3022
Practice Fax:

1578743860 — MR. CHRISTOPHER GEORGE BOYCE IDC
Practice Location Address:

COMSUBRON 15
SANTA RITA, GUAM
96915

Practice Phone: 671-777-9343
Practice Fax:

Directions to “ JASON C SPURGERS IDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.