Organization
UNITED STATES NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EBEN ARTRURO SANCHEZ SURFACE IDC (IDC)
(619) 925-0259
Entity
Organization
Contact information
Practice address
667 ORANGEWOOD DR, VIRGINIA BEACH, VA 23453-2124
(619) 925-0259
Mailing address
667 ORANGEWOOD DR, VIRGINIA BEACH, VA 23453-2124
(619) 925-0259
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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