SAMUEL HOLBROOK HALVERSON

CHARLESTON AFB, SC
NPI1639257025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: SC  2925)
Enumeration Date2006-11-01
Last Update Date2018-04-27
Business Address
SAMUEL HOLBROOK HALVERSON pa-c
204 W HILL BLVD
CHARLESTON AFB, SC 29404-4704
Phone number: 951-313-7307
Mailing Address
SAMUEL HOLBROOK HALVERSON pa-c
204 W HILL BLVD
CHARLESTON AFB, SC 29404-4704
Phone number: 951-313-7307
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