Individual
MR. JOSEPH MICHAEL CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
SEAL TEAM THREE MEDICAL, 2642 TRIDENT WAY, SAN DIEGO, CA 92155-5492
(619) 524-9356
(619) 524-9207
Mailing address
PO BOX 357054, SAN CLEMENTE ISLAND BRANCH MEDICAL CLINIC, FPO, AP 92135-7054
(619) 524-9356
(619) 524-9207
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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