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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHRISTOPHER RUSSELL PETERSON, IDEPENDENT DUTY CORP

Active Sole Proprietor

CHRISTOPHER RUSSELL PETERSON, IDEPENDENT DUTY CORP is a Independent Duty Corpsman healthcare provider located in OCEANSIDE, California. NPI 1023504412 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · OCEANSIDE, CA

Registration Details

NPI Number
1023504412
Provider Type
Individual
Gender
Male
NPI Issued
Jul 9, 2018 (8.1047708699801 yrs)
Last Updated
Jul 9, 2018
Sole Proprietor
Yes

Practice Information

Address
909 ASH RD
OCEANSIDE, CA, 920588664
Browse CA providers · Browse ZIP 92058
Phone
8184044527
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in OCEANSIDE, CA

Name Credential NPI
JEREMY URBANOWSKI 1902399199
MR. CHRISTOPHER LEE NEHLEN IDC 1518171305
MR. RAYMOND RUSSELL BECKLEY 1083815831
JUAN CARLOS VAZQUEZ NAVY IDC 1568631539
DAVID JUSTIN TALMADGE 1235382094
SEAN M BAILEY 1164652020
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.