CHAD SKOTTKE

SAN DIEGO, CA
NPI1245609619
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2015-09-16
Last Update Date2015-09-16
Business Address
-- CHAD SKOTTKE IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 301-532-9455
Mailing Address
-- CHAD SKOTTKE IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: