NPI 1003361742

Caleb James Haynie, IDC

Practitioner Independent Duty Corpsman Coronado, CA

Practice location

Address: 3423 Guadalcanal Rd Bldg 401 2nd Deck Seal Team Seventeen, Coronado, CA 92155-5599
Phone: (619) 537-1334
Fax: (619) 437-2068

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1003361742
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2016
Record last updated: 23 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.