Individual
MR. ADAM JOSEPH NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1991 PACIFIC RD, PORT HUENEME, CA 93043-4306
(805) 982-4920
Mailing address
1991 PACIFIC RD, PORT HUENEME, CA 93043-4306
(805) 982-4920
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CA
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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