Logan Timothy Peterschmidt, HOSPITAL CORPSMAN - San Diego, CA

Logan Timothy Peterschmidt, HOSPITALCORPSMAN

Military Health Care Provider in San Diego, California

NPI 1962916841

Logan Timothy Peterschmidt is a Military Health Care Provider based in San Diego, CA. Logan Timothy Peterschmidt practices in San Diego, CA and has the professional credentials of HOSPITALCORPSMAN. The NPI Number for Logan Timothy Peterschmidt is 1962916841 and holds a License No. (California).

The current practice location address for Logan Timothy Peterschmidt is 2051 Cushing Rd, San Diego, CA and can be reached out via phone at 619-524-0418.

Location: 2051 Cushing Rd, San Diego, CA, 92106-6173

NPI Number

1962916841

Provider Name

Logan Timothy Peterschmidt

Credential

HOSPITALCORPSMAN

Provider Entity Type

Individual

Gender

Male

Address

2051 Cushing Rd, San Diego, CA, 92106-6173

Phone Number

619-524-0418

Fax Number

Provider Enumeration Date

11/29/2017

Last Update Date

03/10/2024

Address

2051 Cushing Rd

City

San Diego

State

California

Zip

92106-6173

Phone Number

619-524-0418

Fax Number

Address

2051 Cushing Rd

City

San Diego

State

California

Zip

92106-6173

Phone Number

619-524-0418

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

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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