person
Mr. Garrett Blaze Dearing, SOIDC
Military Health Care Provider in Camp Pendleton, California
NPI 1245596832

Garrett Blaze Dearing is a Military Health Care Provider based in Camp Pendleton, CA. Garrett Blaze Dearing practices in Camp Pendleton, CA and has the professional credentials of SOIDC. The NPI Number for Garrett Blaze Dearing is 1245596832 and holds a License No. (California).

The current practice location address for Garrett Blaze Dearing is Bldg 4130077 East Marsoc, Camp Pendleton, CA and can be reached out via phone at 760-725-5298.

Location: Bldg 4130077 East Marsoc, Camp Pendleton, CA, 92055-5020
person
Provider Profile Details
NPI Number
1245596832
Provider Name
Garrett Blaze Dearing
Credential
SOIDC
Provider Entity Type
Individual
Gender
Male
Address
Bldg 4130077 East Marsoc, Camp Pendleton, CA, 92055-5020
Phone Number
760-725-5298
Fax Number
Provider Enumeration Date
04/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Bldg 4130077 East Marsoc
City
State
Zip
92055-5020
Phone Number
760-725-5298
Fax Number
person
Provider Business Mailing Address Details
Address
Bldg 4130077 East Marsoc
City
State
Zip
92055-5020
Phone Number
760-725-5298
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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