Jordan Knoppert, IDC
NPI #1598394975 in Imperial Beach, California
Provider Information
- NPI Number
- 1598394975
- Entity Type
- Individual
- Name
- Jordan Knoppert, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Apr 7, 2020
- Last Updated
- Apr 7, 2020
Practice Location
- Address
- 1498 13TH STREET
- Address 2
- NOLF BLDG 193
- City
- Imperial Beach
- State
- California
- ZIP Code
- 91932-3798
- Phone
- (619) 437-9845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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