MR. BRADLEY PROCTOR, IDC
Military Health Care Provider - Independent Duty Corpsman
Active
Individual
NPI: 1629635032
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Military Health Care Provider - Independent Duty Corpsman | 1710I1002X | Yes | - |
Frequently Asked Questions
NPI 1629635032 is the National Provider Identifier for MR. BRADLEY PROCTOR, IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in San Diego, CA. This NPI was enumerated on May 21, 2019.
MR. BRADLEY PROCTOR, IDC practices at 34101 FARENHOLT AVE, San Diego, CA 92134.
Quick Facts
- NPI
- 1629635032
- Type
- Individual
- Enumerated
- May 21, 2019
- Last Updated
- Mar 11, 2025
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