DAVID TYLER BAUER

SAN DIEGO, CA
NPI1427575349
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2017-08-23
Last Update Date2017-08-23
Business Address
MR. DAVID TYLER BAUER IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-961-8787
Mailing Address
MR. DAVID TYLER BAUER IDC
PO BOX 700
GROTON, CT 06349-5700
Phone number: 619-961-8787
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