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
ZIP Code
92134
Phone
(619) 532-9476

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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