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Contact Information

GARY CHERRY JR, IDC
35000 GUADALCANAL ST
BRANCH MEDICAL CLINIC MCRD
SAN DIEGO, CA92140
 Phone: 619-524-4045
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for GARY CHERRY JR · (Male)

NPI # 1316197056
Status Active
Credentials IDC
Entity Individual
Enumeration date 09/30/2008
Last updated 09/30/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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