MR. Paul John Averell, IDC is a military/u.s. coast guard outpatient clinic center in Virginia Beach, VA. The provider is the Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. MR. Paul John Averell, IDC NPI is 1578593943. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1550 TOMCAT BLVD
VIRGINIA BEACH, VA
ZIP 23460
Phone: (757) 314-7198
The enumeration date for this NPI number is 7/3/2006 and was last updated on 7/8/2007.