Individual provider · Type 1 NPI

James Gill, DEEP SEA DIVING IDC

Military Health Care Provider · San Diego, CA

NPI number 1295298172 Active

Practice location

2825 Shoup Dr
San Diego, CA 92110-4866

Call (918) 605-1335 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.

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About NPI 1295298172

James Gill, DEEP SEA DIVING IDC's National Provider Identifier is 1295298172, issued on Apr 9, 2019. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Diego, CA. The record was last updated on Apr 9, 2019.