MR. Caleb James Haynie SR., IDC
NPI #1003361742 in Coronado, California
Provider Information
- NPI Number
- 1003361742
- Entity Type
- Individual
- Name
- MR. Caleb James Haynie SR., IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Aug 23, 2016
- Last Updated
- Aug 23, 2016
Practice Location
- Address
- 3423 GUADALCANAL RD BLDG 401 2ND DECK
- Address 2
- SEAL TEAM SEVENTEEN
- City
- Coronado
- State
- California
- ZIP Code
- 92155-5599
- Phone
- (619) 537-1334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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