Individual provider · Type 1 NPI
Francis Leroy Picklesimer Ii, DMT IDC
Military Health Care Provider · San Diego, CA
NPI number
1457638710
Active
Practice location
2930 Tarawa Rd
San Diego, CA 92155-5198
Fax (619) 437-5319
Mailing address
15698 Concord Ridge Ter
San Diego, CA 92127-4157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None listed |
| Independent Duty Corpsman | 1710I1002X | None 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.
2 other providers at this address
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About NPI 1457638710
Francis Leroy Picklesimer Ii, DMT IDC's National Provider Identifier is 1457638710, issued on Nov 14, 2011. 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 Nov 14, 2011.