SearchCaliforniaIndependent Duty Corpsman

Timothy Ruane, IDC

NPI 1013796192 · on the registry since 2023

Practice

Address
34101 Farenholt Ave Bldg 14
San Diego, CA 92134
Phone
(619) 532-7968
Organisation at this address
United States Navy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
483

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California