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Paul Averell, IDC

NPI 1578593943 · on the registry since 2006 · sole proprietor

Practice

Address
1550 Tomcat Blvd
Virginia Beach, VA 23460
Phone
(757) 314-7198
Organisation at this address
U S Navy
Nmc Portsmouth
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Registry record

Primary taxonomy
Military/U.S. Coast Guard Outpatient Clinic/Center
261QM1100X
Sex
Male
Record last updated
2007-07-08
Status
Not present in the most recent federal file

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 Virginia