DWIGHT HUNTER KOONTZ

SAN DIEGO, CA
NPI1235682055
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2016-07-28
Last Update Date2016-07-28
Business Address
Mr. DWIGHT HUNTER KOONTZ IDC
34101 FARENHOLT AVE BUILDING 14
SAN DIEGO, CA 92134-7000
Phone number: 619-543-0000
Mailing Address
Mr. DWIGHT HUNTER KOONTZ IDC
34101 FARENHOLT AVE SAN DIEGO, CA
APO, AA 92134
Phone number:
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