MEDICARE: MR. JON GAYLORD GABBARD IDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1710I1002X	Independent Duty Corpsman

General Provider Information

NPI Number	:	1508079369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JON GAYLORD GABBARD IDC

Provider Business Mailing Address
First Line	:	3964 SHIRLENE PL
Second Line	:
City	:	LA MESA
State	:	CA
Zip	:	91941-7432
Country	:	US
Telephone Number	:	619-729-7082
Fax Number	:

Provider Business Practice Location Address
First Line	:	USS ANTIETAM CG 54
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96660-1174
Country	:	US
Telephone Number	:	619-556-4495
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	07/06/2010

Similar Medicare Providers

1710151170 — SCOTT G PITTMAN IDC
Practice Location Address:

USS ANTIETAM , CG 54
FPO, AP
96660-1174

Practice Phone: 619-556-4664
Practice Fax:

1407007271 — VALENTINO SALAZAR INDEPENDENT DUTY HM
Practice Location Address:

USS ALBUQUERQUE SSN 706
FPO, AP
96660-2386

Practice Phone: 619-553-7293
Practice Fax: 619-553-7293

1750660445 — NICKOLAS ALLEN WESTBERG IDC
Practice Location Address:

USS AMERICA (LHA-6) , UNIT 100233
FPO, AP
96660

Practice Phone: 619-556-5224
Practice Fax:

1518239565 — MR. JOHN H HOLSCHER IDC
Practice Location Address:

USS SENTRY , MCM 3
FPO, AP
96660-1923

Practice Phone: 301-802-6301
Practice Fax:

1003284985 — ABISOLA OLATUNJIOJO SFIDC
Practice Location Address:

USS ASHLAND , UNIT 100147
FPO, AP
96660-1736

Practice Phone: 315-252-1282
Practice Fax:

1477138501 — DR. TONY N. TRAN MD
Practice Location Address:

USS ASHLAND LSD 48 , UNIT 100147
FPO, AP
96660

Practice Phone: 770-539-4706
Practice Fax:

Directions to “ MR. JON GAYLORD GABBARD IDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.