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NPI 1629301361

IndividualActive

Bobby Thomas, IDC

NPI 1629301361 · Independent Duty Corpsman · Norfolk, VA

Provider details

NPI number: 1629301361
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Practice location

1300 Helicopter Rd

Naval Special Warfare Support Activity Two

Norfolk, VA 23521-2936

Phone: (757) 763-2508

More VA providers

Mailing address

1300 Helicopter Rd

Norfolk, VA 23521-2936

Registry dates

Enumerated: 2009-09-14
Last updated: 2009-09-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bobby Thomas, IDC — NPI 1629301361, Norfolk, VA | NPI Central