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Individual

EDWARD J BIGGS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
2446 TRIDENT WAY, MEDICAL DEPARTMENT NSWC, SAN DIEGO, CA 92155-5449
(619) 437-0777
Mailing address
PO BOX 180571, CORONADO, CA 92178-0571
(619) 318-6726

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
01/30/2006
Last updated
07/08/2007
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