Provider Information for 1003371311
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Dr. MILTON RAY DAWKINS Jr. PhD
Sex: Male
NPI: 1003371311
Last Updated: 2022-07-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1003371311 | ||||||||
| Enumeration Date | 2019-01-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PSC 475 BOX 1 FPO, AP 96350-1200 United States Phone: 315-243-5171 | Fax: | ||||||||
| Primary Practice Address | 238-0001 KANAGAWA PREFECTURE YOKOSUKA, YOKOSUKA, INAOKACHO, 82 2380001 Japan Phone: 315-243-5171 | Fax: | ||||||||
| Secondary Practice Address(es) | U.S. NAVAL HOSPITAL YOKOSUKA PSC 475 - B 1 | ||||||||
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