Individual
TIMOTHY R BLEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE SAN DIEGO, CA 92134, SAN DIEGO, CA 92134-0001
(619) 532-6400
Mailing address
10210 WALDRON WAY, SAN DIEGO, CA 92124-3218
(408) 529-0025
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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