NPI 1013338250

William Allen Irish, IDC

Practitioner Independent Duty Corpsman Apo, AP

Practice location

Address: 34101 Farenholt Ave Bldg 14, Apo, AP 92134-5291
Phone: (619) 532-6195
Mailing address: 34101 Farenholt Ave Bldg 14, San Diego, CA 92134-5291

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1013338250
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2013
Record last updated: 13 Dec 2013

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.