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“Independent Duty Corpsman” (Port Hueneme, CA)

Location: Port Hueneme, CA
Taxonomy: Independent Duty Corpsman.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1063682581 — RYAN T DE LA CRUZ
Practice Location Address:
NMCB - 3 UNIT 25269 FPO AP 96601
PORT HUENEME CA
96601
Practice Phone: 805-892-4924
1093043051 — ERIK CHRISTIAN KETELSEN IDC
Practice Location Address:
4653 DOCK RD BLDG 524
PORT HUENEME CA
93043-4321
Practice Phone: 619-534-7920
1144623448 — PIOTOR JUCHNIEWICZ IDC
Practice Location Address:
162 1ST ST
PORT HUENEME CA
93043-4316
Practice Phone: 312-551-6370
1144867532 — MR. ANDREW THANH BUI IDC
Practice Location Address:
162 1ST ST
PORT HUENEME CA
93043-4316
Practice Phone: 805-982-2731
1235478728 — GREGORY A WILLIAMS IDC
Practice Location Address:
2600 DODSON ST STE 3
PORT HUENEME CA
93043-4432
Practice Phone: 805-982-5945
1265951305 — NICKOLAS VINCENT PONCE IDC
Practice Location Address:
162 1ST ST BLDG 1402
PORT HUENEME CA
93043-4316
Practice Phone: 805-982-6320
1275007791 — SHAYNE TYLER STANLEY
Practice Location Address:
2600 DODSON ST STE 3
PORT HUENEME CA
93043-4432
Practice Phone: 661-794-0954
1275500365 — MR. FERNANDO JUAREZ OTHER
Practice Location Address:
4643 DOCK RD BLDG 524
PORT HUENEME CA
93043-4321
Practice Phone: 805-982-4261
1376754242 — MR. JOSHUA WILLIAM ROSS SFIDC
Practice Location Address:
NAVAL AMBULATORY CARE CLINIC 162 1ST STREET BUILDING 1402
PORT HUENEME CA
93043-0001
Practice Phone: 805-982-6419
1376816165 — LAMAR ALAN HOOPER
Practice Location Address:
162 1ST ST
PORT HUENEME CA
93043-4316
Practice Phone: 805-982-6370
1396930129 — SHAWN JEREMY KERN
Practice Location Address:
UNDERWATER CONSTRUCTION TEAM 2 MEDICAL 4643 DOCK ROAD BLDG 524
PORT HUENEME CA
93043-0001
Practice Phone: 805-982-2464
1427266931 — MR. BRIAN MICHAEL STRAHL IDC
Practice Location Address:
5 NMCB 5 STREET
PORT HUENEME CA
93041
Practice Phone: 760-885-5599
1437347317 — MR. LEO BORISOVICH BUGAEFF I IDC/RN
Practice Location Address:
4643 DOCK RD BLDG 524
PORT HUENEME CA
93043-4378
Practice Phone: 805-982-2464
1467597476 — JULIO CESAR ORTIZ INDEPENDENT DUTY HM
Practice Location Address:
NAVAL AMBULATORY CARE CTR 162 FIRST ST.
PORT HUENEME CA
93043-4316
Practice Phone: 805-982-6310
1467798900 — ANDREW TYSON HAMMOND I.D.C
Practice Location Address:
162 1ST ST
PORT HUENEME CA
93043-4316
Practice Phone: 805-982-6343
1497767453 — MR. DAVID ROGER HEGLIN IDC
Practice Location Address:
4643 DOCK RD BLDG 524
PORT HUENEME CA
93043-4321
Practice Phone: 805-982-2464
1528210697 — CHRISTOPHER LEE WALKER IDC
Practice Location Address:
4643 DOCK RD BLDG 524
PORT HUENEME CA
93043-4321
Practice Phone: 805-982-2464
1558852921 — RYAN KITCHENS
Practice Location Address:
4643 DOCK ROAD BUILDING 524
PORT HUENEME CA
93043
Practice Phone: 817-944-4077
1578227609 — RYAN MICHAEL HEMBREE IDC
Practice Location Address:
NAV MOB CONST BATT 5 2600 DODSON ST STE 3
PORT HUENEME CA
93043-4432
Practice Phone: 805-989-3315
1629417613 — ALORAH MICHELLE MOLINA
Practice Location Address:
NAVAL BRANCH MEDICAL CLINIC 1ST AVE
PORT HUENEME CA
93043-0001
Practice Phone: 805-989-8030
1629592605 — ANDREW GUILMOND NADEAU IDC
Practice Location Address:
1183 NORTH VENTURA ROAD
PORT HUENEME CA
93041
Practice Phone: 805-982-2282
1639424294 — MR. ADAM JOSEPH NEWELL IDC
Practice Location Address:
1991 PACIFIC RD
PORT HUENEME CA
93043-4306
Practice Phone: 805-982-4920
1659460590 — MR. JERRY M SMITH JR. IDC
Practice Location Address:
4643 DOCK RD BLDG 524
PORT HUENEME CA
93043-4321
Practice Phone: 805-982-2411
1689782294 — CARLOS ROBERTO MARTINEZ I.D.C.
Practice Location Address:
161 1ST ST BLDG 1402
PORT HUENEME CA
93043-0001
Practice Phone: 805-982-6496
1831702950 — KYLE LEONARD GOSSELIN IDC
Practice Location Address:
2600 DODSON ST STE 3
PORT HUENEME CA
93043-4432
Practice Phone: 805-342-9300
1841552163 — MR. TIMOTHY J. KERR DIVE IDC
Practice Location Address:
4643 DOCK RD BLDG 524
PORT HUENEME CA
93043-4321
Practice Phone: 805-982-6682
1861460123 — MIKE COCKRILL IDC
Practice Location Address:
UNDERWATER CONSTRUCTION TEAM 2 4643 DOCK ROAD, BLDG 524
PORT HUENEME CA
93043-0001
Practice Phone: 805-982-2464
1871828723 — SETH T. SECREASE IDC
Practice Location Address:
NAVAL CLINIC PORT HUENEME 162 1ST ST
PORT HUENEME CA
93043-0001
Practice Phone: 619-522-6195
1932566130 — VIRGIL ALLEN NEWTON DIVE IDC
Practice Location Address:
4643 DOCK RD BLDG 524
PORT HUENEME CA
93043-4321
Practice Phone: 805-982-6682
1952804213 — BRANDON EARL BURKE SF IDC
Practice Location Address:
162 1ST ST BLDG 1402
PORT HUENEME CA
93043-7000
Practice Phone: 831-359-1749

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