Individual
ROBERT ESTEP BEVERLY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2016 ADOBE CT, VIRGINIA BEACH, VA 23456-4924
(757) 227-3149
Mailing address
USS BARRY DDG 52, MEDICAL DEPARTMENT, FPO, AE 09565
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710I1002X
INDEPENDENT DUTY CORPSMAN
VA
Enumeration date
05/17/2007
Last updated
04/20/2008
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