Edinito Gulfan Purog, IDC
NPI #1134352719 in Chula Vista, California
Provider Information
- NPI Number
- 1134352719
- Entity Type
- Individual
- Name
- Edinito Gulfan Purog, IDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Aug 28, 2009
- Last Updated
- Aug 28, 2009
Practice Location
- Address
- 1888 CROSSROADS ST
- City
- Chula Vista
- State
- California
- ZIP Code
- 91915-2430
- Phone
- (619) 852-6601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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