Jason William Beckford
Military Health Care Provider, Independent Duty Corpsman in San Diego, CA. Individual provider (NPI-1).
NPI number1033366232
StatusActive
Last updated in NPPESOct 16, 2009
Details
- NPI
- 1033366232
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jason William Beckford
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2008
- Last updated
- Oct 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
Naval Medical Ctr34800 Bob Wilson Drive
San Diego, CA 92134-0001
Phone 619-708-2068
Mailing address
701 Kettner Blvd18
San Diego, CA 92101-5908
Phone 619-708-2068
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