Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

George Thomas Stevens IV, IDCNAVY

Individual provider Independent Duty Corpsman · NPI 1962614560

George Thomas Stevens IV, IDCNAVY is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

3330 Tarawa Rd Bldg 327
San Diego, CA 92155-5078
Phone: (619) 437-5139
Fax: (619) 437-5099
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1962614560
Entity typeIndividual (Type 1)
GenderMale
Credentials IDCNAVY
Sole proprietorNo
NPI enumeratedMay 4, 2007
Last updated in NPPESJuly 8, 2007

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