Robert Estep Beverly Jr.
Military Health Care Provider, Independent Duty Corpsman in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1972710168
StatusActive
Last updated in NPPESApr 20, 2008
Details
- NPI
- 1972710168
- Entity type
- Individual (NPI-1)
- Name
- Robert Estep Beverly Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2007
- Last updated
- Apr 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
2016 Adobe CtVirginia Beach, VA 23456-4924
Phone 757-227-3149
Mailing address
Uss Barry Ddg 52Medical Department
Fpo, AE 09565
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