Individual
PAUL MICHAEL ISGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 CALLE TESORO, CHULA VISTA, CA 91915-1262
(619) 519-4257
Mailing address
1155 CALLE TESORO, CHULA VISTA, CA 91915-1262
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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