Individual
JEREMIAH CLYDE SAWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
4050 SURFACE NAVY BLVD, MUDSU ONE DET-1, SAN DIEGO, CA 92136-5288
(619) 556-6323
Mailing address
4050 SURFACE NAVY BLVD, MUDSU ONE DET-1, SAN DIEGO, CA 92136-5288
(619) 556-6323
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/25/2012
Last updated
11/25/2012
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