Provider Demographics
NPI:1073647483
Name:VIOLA, DAVID JOSEPH (IDC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JOSEPH
Last Name:VIOLA
Suffix:
Gender:M
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 557 BOX 2194
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:AP
Mailing Address - Country:US
Mailing Address - Phone:01181611-742-2378
Mailing Address - Fax:
Practice Address - Street 1:NAVAL HOSPITAL OKINAWA JAPAN
Practice Address - Street 2:PSC 482 BOX 1600
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:AP
Practice Address - Country:US
Practice Address - Phone:01181611-742-2378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman