Individual
DANNY LEE DOUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2ND BATTALION 1ST MARINES, 1ST MARINE DIVISION, BOX: 555401, CAMP PENDLETON, CA 92055-5401
(760) 763-0791
Mailing address
2567 OLD QUARRY RD, #2404, SAN DIEGO, CA 92108-2789
(619) 708-2847
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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