Individual
MR. GARRETT BLAZE DEARING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
BLDG 4130077 EAST MARSOC, 1ST MARINE SPECIAL OPERATIONS BATALLION, CAMP PENDLETON, CA 92055-5020
(760) 725-5298
Mailing address
BLDG 4130077 EAST MARSOC, 1ST MARINE SPECIAL OPERATIONS BATALLION, CAMP PENDLETON, CA 92055-5020
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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