J WILLIAM KIRK

SAN DIEGO, CA
NPI1043606205
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2015-04-14
Last Update Date2018-06-11
Business Address
MR. J WILLIAM KIRK IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 858-539-5507
Mailing Address
MR. J WILLIAM KIRK IDC
UNIT 100331 BOX 1
FPO, AE 09513-3100
Phone number: 757-443-8798
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