Conner Paul Spuhl

Military Health Care Provider, Independent Duty Corpsman in San Diego, CA. Individual provider (NPI-1).

NPI number1730701293

StatusActive

Last updated in NPPESMay 7, 2020

Details

NPI: 1730701293
Entity type: Individual (NPI-1)
Name: Mr. Conner Paul Spuhl
Sex: Male
Sole proprietor: No
Enumeration date: May 7, 2020
Certification date: May 7, 2020
Last updated: May 7, 2020

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1710I1002X	Military Health Care Provider, Independent Duty Corpsman	–	CA	Yes

Practice location

10071 Rio San Diego Dr Apt 311
San Diego, CA 92108-5661

Phone 417-812-0907

Mailing address

10071 Rio San Diego Dr Apt 311
San Diego, CA 92108-5661

Phone 417-812-0907

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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