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JAMES CARL BEDINGFIELD IDC

Independent Duty Corpsman >> Military Health Care Provider >> Other Service Providers

Registrant NPI Number: 1083803555

Individual Registrant:
 JAMES CARL BEDINGFIELD IDC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
31 AREA BRANCH MEDICAL CLINIC BLDG. 310514 CAMP PENDLETON, CA 92054 US
Tel: 760-725-7135  Fax: --

Contact information for business:
304 BOXWOOD STREET NORTH  OCEANSIDE, CA 92058 US
Tel: 760-214-6248  Fax: --

Registration Information:
NPI: 1083803555
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1710I1002XOther Service Providers
Military Health Care Provider
Independent Duty Corpsman

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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