Individual provider · Type 1 NPI

Garrett Blaze Dearing, SOIDC

Military Health Care Provider · Camp Pendleton, CA

NPI number 1245596832 Active

Practice location

Bldg 4130077 East Marsoc, 1st Marine Special Operations Batallion
Camp Pendleton, CA 92055-5020

Call (760) 725-5298 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Other military health care provider providers in Camp Pendleton

See all in Camp Pendleton →

About NPI 1245596832

Garrett Blaze Dearing, SOIDC's National Provider Identifier is 1245596832, issued on Apr 9, 2012. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Camp Pendleton, CA. The record was last updated on Apr 9, 2012.