Logan Timothy Peterschmidt, HOSPITAL CORPSMAN is a military health care provider in San Diego, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Logan Timothy Peterschmidt, HOSPITAL CORPSMAN NPI is 1962916841. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2051 CUSHING RD
SAN DIEGO, CA
ZIP 92106-173
Phone: (619) 524-0418
The enumeration date for this NPI number is 11/29/2017 and was last updated on 11/29/2017.