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
Other Service Providers
Practice location
1300 Helicopter Rd
Naval Special Warfare Support Activity Two
Norfolk, VA 23521-2936
Phone: (757) 763-2508
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.