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NPI Code Detail

MEDICARE: MR. JOHN ACIDO INFANTE HMC

MEDICARE:  MR. JOHN ACIDO INFANTE  HMC
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
11710I1002XIndependent Duty Corpsman

General Provider Information

NPI Number : 1679801401
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN ACIDO INFANTE HMC
Provider Business Mailing Address
First Line : USS BOISE
Second Line : SSN 764
City : FPO
State : AE
Zip : 09564
Country : US
Telephone Number : 757-444-4116
Fax Number :
Provider Business Practice Location Address
First Line : USS BOISE
Second Line : SSN 764
City : FPO
State : AE
Zip : 09564
Country : US
Telephone Number : 757-444-4116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2009
Last Update Date : 12/07/2009

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Directions to “ MR. JOHN ACIDO INFANTE HMC” Practice Location

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