Organization
UNITED STATES NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HOOFFSTETTER IDC (INDEPENDENT DUTY CORPSMAN)
(619) 537-3274
Entity
Organization
Contact information
Practice address
LOGISTICS SUPPORT UNIT ONEMEDIC, 2424 REDOVA RD BLDG 156, SAN DIEGO, CA 92155-5401
(619) 537-3274
Mailing address
LOGISTICS SUPPORT UNIT ONEMEDIC, 2424 REDOVA RD BLDG 156, SAN DIEGO, CA 92155-5401
(619) 537-3274
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
2865M2000X
Military General Acute Care Hospital
—
—
2865X1600X
Operational (Transportable) Military General Acute Care Hospital
—
—
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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