Organization
UNITED STATES NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMAKARA SOK (INDEPENDENT DUTY CORPSMAN)
(262) 705-8786
Entity
Organization
Contact information
Practice address
318 S FRENCH CT, VIRGINIA BEACH, VA 23454-4225
(262) 705-8786
Mailing address
318 S FRENCH CT, VIRGINIA BEACH, VA 23454-4225
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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