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MR. DUSTIN ADAMS IDC

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

Registrant NPI Number: 1598971749

Individual Registrant:
MR. DUSTIN  ADAMS IDC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
NAVAL HOSPITAL CAMP PENDLETON 52 AREA BRANCH MEDICAL CLINIC CAMP PENDLETON, CA 92055 US
Tel: 760-725-7200  Fax: --

Contact information for business:
1712 PROMENADE CIR  VISTA, CA 92083-6169 US
Tel: 760-414-9826  Fax: --

Registration Information:
NPI: 1598971749
Entity Type: Individual

Specialty information:

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

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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