MR. Omar Gerardo Azmitia, IDC
NPI #1669638722 in San Diegot, California
Provider Information
- NPI Number
- 1669638722
- Entity Type
- Individual
- Name
- MR. Omar Gerardo Azmitia, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Jul 29, 2008
- Last Updated
- Jul 29, 2008
Practice Location
- Address
- 34101 FARENHOLT AVE
- Address 2
- SURFACE WARFARE MEDICINE INSTITUTE
- City
- San Diegot
- State
- California
- ZIP Code
- 92134
- Phone
- (619) 532-9476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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