Individual
MR. DYLAN THOMAS COMERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
I.D.C.
Contact information
Practice address
43 SMITH RD, NEWPORT, RI 02841-1006
(401) 841-6163
Mailing address
43 SMITH RD, NEWPORT, RI 02841-1006
(401) 841-6163
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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