Taxonomy Code 171000000X(171000000x)
Military Health Care Provider. Providers: 6

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Military Health Care Provider Providers

NPI Name Type Address

1285174201

Yizhen Elizabeth Liu

Individual

1040, 7050 S Air Depot Blvd

Tinker Afb, OK

1720501299

DR. DO William Moore

Individual

7050 Air Depot Blvd

Tinker Afb, OK

1598221434

MD Nathaniel Rosol

Individual

7050 Air Depot Blvd Bldg 1094

Tinker Afb, OK

1245869593

DO Marco Antonio Grieco

Individual

7050 Air Depot Blvd Bldg 1094

Tinker Afb, OK

1861029076

DR. DO George Leonard Ettel III

Individual

7050 Air Depot Blvd Bldg 1094

Tinker Afb, OK

1487148177

DR. MD Clayton Franklin Fuqua

Individual

7050 Air Depot Blvd Bldg 1094

Tinker Afb, OK

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