Individual provider · Type 1 NPI

Logan Timothy Peterschmidt, HOSPITAL CORPSMAN

Military Health Care Provider · San Diego, CA

NPI number 1962916841 Active

Practice location

2051 Cushing Rd
San Diego, CA 92106-6173

Call (619) 524-0418 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 1962916841

Logan Timothy Peterschmidt, HOSPITAL CORPSMAN's National Provider Identifier is 1962916841, issued on Nov 29, 2017. 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 29, 2017.