NPI 1003526989
Daniel John Callicoat, SOIDC
Practice location
- Address
- Bldg Rr 361, Camp Lejeune, NC 28540
- Phone
- (910) 440-2504
- Mailing address
- Bldg Rr 361, Camp Lejeuen, NC 28540
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1003526989
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Dec 2022
- Record last updated
- 1 Dec 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.