Provider Demographics
NPI:1902840564
Name:BEST, GARRY VERN (US NAVY IDC)
Entity Type:Individual
Prefix:MR
First Name:GARRY
Middle Name:VERN
Last Name:BEST
Suffix:
Gender:M
Credentials:US NAVY IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4058 GRAYBACK DR
Mailing Address - Street 2:U12
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98315-9649
Mailing Address - Country:US
Mailing Address - Phone:360-535-7170
Mailing Address - Fax:
Practice Address - Street 1:USS OHIO (SSGN 726)
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96698-2093
Practice Address - Country:US
Practice Address - Phone:360-476-8351
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman