Individual
CODY JAMES GILMARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(619) 532-7968
Mailing address
5502 MARVIN SHIELDS BLVD, GULFPORT, MS 39501
(228) 822-5922
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/26/2023
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