MR. Timothy Daniel Severino, SOIDC
NPI #1780055723 in Camp Pendleton, California
Provider Information
- NPI Number
- 1780055723
- Entity Type
- Individual
- Name
- MR. Timothy Daniel Severino, SOIDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- SOIDC
- Enumeration Date
- Oct 16, 2015
- Last Updated
- Oct 16, 2015
Practice Location
- Address
- 1ST RECONNAISSANCE BATTALION AID STATION
- Address 2
- 41 AREA CAMP FLORES
- City
- Camp Pendleton
- State
- California
- ZIP Code
- 92055
- Phone
- (760) 725-8912
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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