MR. Garrett Blaze Dearing, SOIDC

NPI #1245596832 in Camp Pendleton, California

Provider Information

NPI Number
1245596832
Entity Type
Individual
Name
MR. Garrett Blaze Dearing, SOIDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider
Credential
SOIDC
Enumeration Date
Apr 9, 2012
Last Updated
Apr 9, 2012

Practice Location

Address
BLDG 4130077 EAST MARSOC
Address 2
1ST MARINE SPECIAL OPERATIONS BATALLION
ZIP Code
92055-5020
Phone
(760) 725-5298

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider

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