Provider Demographics
NPI:1437241338
Name:HAWKINS, RICK DUANE (IDC)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:DUANE
Last Name:HAWKINS
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:USS STETHEM (DDG 63)
Mailing Address - Street 2:MEDICAL DEPT
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96678-1281
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:USS STETHEM (DDG 63)
Practice Address - Street 2:MEDICAL DEPT
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96678-1281
Practice Address - Country:JP
Practice Address - Phone:243-3032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman