Shane S O'Brien, DEEPSEADIVINGIDC
Shane S O'Brien, DEEPSEADIVINGIDC is a Military Health Care Provider in Imperial Beach, California. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
842 Georgia StImperial Beach, CA 91932-2343
Phone: (619) 869-1952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military Health Care Provider (primary) | Taxonomy 171000000X |
|---|
Record details
| NPI number | 1790248375 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DEEPSEADIVINGIDC |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2019 |
| Last updated in NPPES | April 10, 2019 |
Other providers in Imperial Beach
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Christian Richard Flohr, NAVYDIVEIDC
1498 13th St Bldg 193, Imperial Beach, CA 91932-3746 · (619) 437-9845