NPI 1003840653

Robert David Gerardi, IDC

Practitioner Independent Duty Corpsman San Diego, CA

Practice location

Address: 2841 Rendova Road, San Diego, CA 92155
Phone: (619) 437-2329
Fax: (619) 437-2700

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1003840653
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2006
Record last updated: 8 Jul 2007

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.