Individual
DREW PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134-5000
(760) 725-3213
Mailing address
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, JACKSONVILLE, FL 32212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10514675-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD0000
MILITARY PHYSICIANS
—
Enumeration date
09/20/2017
Last updated
09/20/2017
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