IndividualActive
Edward Neville, SOIDC
NPI 1053082651 · Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center · Fpo
Provider details
- NPI number
- 1053082651
- Entity type
- Individual
- Primary specialty
- Military Ambulatory Procedure Visits Operational (Transportable) Clinic/CenterAmbulatory Health Care Facilities
- Credential
- SOIDC
- Sex
- Male
- Sole proprietor
- Yes
Practice location
3d Recon Bas
Fpo, 96389
Phone: (917) 943-0666
Mailing address
3d Recon Bn Aid Station
Fpo, AP 96389-6189
Registry dates
- Enumerated
- 2021-09-23
- Last updated
- 2021-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.