Provider Demographics
NPI:1073793881
Name:ARROYO, MICHAEL ALBERT JR (IDC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ALBERT
Last Name:ARROYO
Suffix:JR
Gender:M
Credentials:IDC
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Mailing Address - Street 1:1 ADMINISTRATION CIR # 1311
Mailing Address - Street 2:BHC CHINA LAKE
Mailing Address - City:RIDGECREST
Mailing Address - State:CA
Mailing Address - Zip Code:93555-6104
Mailing Address - Country:US
Mailing Address - Phone:760-939-1657
Mailing Address - Fax:760-939-6582
Practice Address - Street 1:1 ADMINISTRATION CIR STOP 1311
Practice Address - Street 2:BHC CHINA LAKE
Practice Address - City:RIDGECREST
Practice Address - State:CA
Practice Address - Zip Code:93555-6104
Practice Address - Country:US
Practice Address - Phone:760-939-1657
Practice Address - Fax:760-939-6582
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2009-10-09
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman