Individual
JACK HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34800 BOB WILSON DR NAVAL MEDICAL CENTER SAN DIEGO, SAN DIEGO, CA 92134-0001
(619) 532-6400
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101275962
VA
Other
Enumeration date
04/06/2021
Last updated
06/17/2024
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