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NPI 1275044166

IndividualActive

Adam Stover

NPI 1275044166 · Independent Duty Corpsman · Camp Pendleton, CA

Provider details

NPI number: 1275044166
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Sex: Male
Sole proprietor: No
License: E3456826

Practice location

5th Battalion 11th Marines

Camp Pendleton, CA 92055

Phone: (760) 725-1054

More CA providers

Mailing address

Po Box 555534

Camp Pendleton, CA 92055-5534

Registry dates

Enumerated: 2017-10-18
Last updated: 2024-11-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Adam Stover — NPI 1275044166, Camp Pendleton, CA | NPI Central