Jacob Daniel Pedersen, INDEPENDENT DUTY CO
NPI #1437821469 in Corpus Christi, Texas
Provider Information
- NPI Number
- 1437821469
- Entity Type
- Individual
- Name
- Jacob Daniel Pedersen, INDEPENDENT DUTY CO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- INDEPENDENT DUTY CO
- Enumeration Date
- Sep 28, 2021
- Last Updated
- Jun 30, 2023
Practice Location
- Address
- 249 GLASSON
- City
- Corpus Christi
- State
- Texas
- ZIP Code
- 78406-1817
- Phone
- (361) 939-0291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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