Individual
ANDREW HAROLD PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4357
Mailing address
1636 REGULUS AVE, VIRGINIA BEACH, VA 23461-2200
(904) 803-6955
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
10/20/2023
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