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Search › California › Independent Duty Corpsman

Timothy Hudert, IDC

NPI 1154109460 · on the registry since 2023

Practice

Address
34101 Farenholt Ave Bldg 14
San Diego, CA 92134
Phone
(862) 226-0653
Organisation at this address
United States Navy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
491

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Sex
Male
Record last updated
2023-09-18
Status
Not present in the most recent federal file

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