Individual
ANTHONY RICHARD PARROTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
SURFACE WARFARE MEDICAL INSTITUTE, 34101 FARENHOLT AVE, SAN DIEGO, CA 92134-5291
(631) 626-4316
Mailing address
SURFACE WARFARE MEDICAL INSTITUTE, 34101 FARENHOLT AVE, SAN DIEGO, CA 92134-5291
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2021
Last updated
01/20/2022
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