SearchMississippiIndependent Duty Corpsman

Thomas Walker, IDC

NPI 1396945853 · on the registry since 2007

Practice

Address
Special Boat Team 22
2603 Lower Gainsville Rd
Stennis Space Center, MS 39529
Phone
(228) 813-4000
Fax
(228) 813-4021
Clinicians at this address
2

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi