Individual
MR. ERNEST THEOPHILUS QUIMBY IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
WALTER REED NMMC, BLDG 1 SUITE 5103 8955 WOOD ROAD, BETHESDA, MD 20889-5628
(202) 319-4440
Mailing address
WALTER REED NMMC, BLDG 1 SUITE 5103 8955 WOOD ROAD, BETHESDA, MD 20889-5628
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/26/2012
Last updated
04/30/2015
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