Taxonomy Code 171000000X(171000000x)
Military Health Care Provider. Providers: 7

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Military Health Care Provider Providers

NPI Name Type Address

1184774689

PHYSICAL THERAPIST Paul I Harris

Individual

Naval Hospital Attn Professional Affairs

Bldg 1145 Sturgis Street

Twentynine Palms, CA

1548575699

MS. FNP Michelle Elaine Weddle

Individual

1145 Sturgis Street

Naval Hospital Twentynine Palms

Twentynine Palms, CA

1104386929

Nicholis Morales

Individual

1145 Sturgis Rd

Twentynine Palms, CA

1104277953

D.O. Jaydeep Raval

Individual

1145 Sturgis Rd

Twentynine Palms, CA

1982085593

DR. M.D. Anastasia Kostrubala

Individual

1145 Sturgis Rd

Twentynine Palms, CA

1598359713

MD Kellen James Glynn

Individual

1546 6th Street

Twentynine Palms, CA

1316396252

DR. M.D. Douglas Taylor Hofstetter

Individual

1145 Sturgis Road

Twentynine Palms, CA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 171000000X
Display Name Military Health Care Provider
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Corpsman

1710I1002X • providers: 3,002

Independent Duty Medical Technicians

1710I1003X • providers: 1,299