Doctor Name: | ROBERT JAMES ORGILL |
NPI Number: | 1396017927 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNA |
License Number: | 773562 |
Business Practice Address: | Bureau Of Medicine & Surgery Detachment Jacksonville Nas Jacksonville Jacksonville, FL - 322120140 |
Business Phone Number: | 3107273649 |
Business Fax Number: | |
Mailing Address: | Bureau Of Medicine & Surgery Detachment Jacksonville, Nas Jacksonville JACKSONVILLE |
State: | FL |
Postal Code: | 322120140 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/27/2012 |
NPI Last Update Date: | 10/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 773562 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |