Justin Carl Carpenter, IDC Valid NPI

Individual provider · Independent Duty Corpsman · Coronado, CA

NPI

1336079003

Type

Individual (Type 1)

Primary specialty

Independent Duty Corpsman (Military Health Care Provider)

Specialty group

Other Service Providers

Taxonomy code

1710I1002X

Sex

Male

Sole proprietor

Yes

Enumerated

2026-05-22

Last updated

2026-05-22