NPI 1013264597
Shaun Christopher Dezern
Practice location
- Address
- 2d Recon Bn, A-71 Medical Department, Camp Lejeune, NC 28542-0138
- Phone
- (910) 440-7712
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1013264597
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Aug 2012
- Record last updated
- 14 Aug 2012
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.