Peter Moreno IV SOIDC

NPI 1043595861 - Military Health Care Provider - 1710I1002X

NPI Details
NPI 1043595861
Gender Male
Enumeration Date 10/12/2011
Last Updated 10/12/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
PSC BOX 20183
2D MARINE SPECIAL OPERATIONS BATTALION
CAMP LEJEUNE NC, 28542-0116, US
Phone (910) 440-7704
Fax
Business Location
PSC BOX 20183
2D MARINE SPECIAL OPERATIONS BATTALION
CAMP LEJEUNE NC, 28542-0183, US
Phone (910) 440-7704
Fax
Toxanomy
Taxonomy Code 1710I1002X
License State
License Number
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According to our database, Mr. Peter Moreno IV SOIDC NPI is 1043595861, taxonomy code is 1710I1002X Peter Moreno IV SOIDC physically located at Psc Box 20183, Camp Lejeune NC, 28542-0116. NPI Number Peter Moreno IV SOIDC has the Individual type.

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1043595861 NPI number is provided on an as is basis without warranty of any kind. 1043595861 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Moreno IV SOIDC are for informational purposes only.