Individual
RANDALL BRUCE DURGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3325 SENN RD, BLDG 55 MEDICAL DEPT, SAN DIEGO, CA 92136-5029
(619) 556-2724
(619) 556-6756
Mailing address
3325 SENN RD, BLDG 55 MEDICAL DEPT, SAN DIEGO, CA 92136-5029
(619) 556-2724
(619) 556-6756
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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