Daniel Grant Redifer, SOIDC
NPI #1205487212 in Camp Pendleton, California
Provider Information
- NPI Number
- 1205487212
- Entity Type
- Individual
- Name
- Daniel Grant Redifer, SOIDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- SOIDC
- Enumeration Date
- Sep 23, 2019
- Last Updated
- Sep 23, 2019
Practice Location
- Address
- 1MRB 555341
- City
- Camp Pendleton
- State
- California
- ZIP Code
- 92055
- Phone
- (760) 725-5298
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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