LOGAN TIMOTHY PETERSCHMIDT

SAN DIEGO, CA
NPI1962916841
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2017-11-29
Last Update Date2017-11-29
Business Address
LOGAN TIMOTHY PETERSCHMIDT Hospital Corpsman
2051 CUSHING RD
SAN DIEGO, CA 92106-6173
Phone number: 619-524-0418
Mailing Address
LOGAN TIMOTHY PETERSCHMIDT Hospital Corpsman
2051 CUSHING RD
SAN DIEGO, CA 92106-6173
Phone number: