Individual
CORY BARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NAVY IDC
Contact information
Practice address
200 MERCY COURT, CAMP PENDLETON SOUTH, CA 92055
(909) 224-1056
Mailing address
2846 FALVY AVE, SAN DIEGO, CA 92111-5811
(909) 224-1056
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
B-300-0019
CA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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