Most Relevant Information
Provider Data
| NPI Number: | 1003199738 |
| Provider Name: | MICHAEL WILLIAM ASHLINE IDC |
| Entity Type: | Individual |
| Taxonomy Code: | 1710I1002X |
| Specialty: | Military Health Care Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/20/2011 |
| Last Updated: | 09/20/2011 |
Provider Practice Location
34101 FARENHOLT AVE BLDG 14
SAN DIEGO
CA
921347000
Practice Location Phone/Fax
| Phone: | 6195326195 |
| Fax: |
Provider Mailing Location
6209 PELICAN VIEW CT
SUFFOLK
VA
234352921
Provider Mailing Phone/Fax
| Phone: | 2402102871 |
| Fax: |