Most Relevant Information
Provider Data
NPI Number: | 1003227844 |
Provider Name: | CHASE CRUM IDC |
Entity Type: | Individual |
Taxonomy Code: | 1710I1002X |
Specialty: | Military Health Care Provider |
License Number: |
Most Important Dates
Enumeration Date: | 05/14/2014 |
Last Updated: | 05/14/2014 |
Provider Practice Location
USS RODNEY M DAVIS
FPO
AP
966631514
Practice Location Phone/Fax
Phone: | 4253045010 |
Fax: |
Provider Mailing Location
USS RODNEY M DAVIS
FPO
AP
966631514
Provider Mailing Phone/Fax
Phone: | 4253045010 |
Fax: |