NPI 1043595861
Peter Moreno, SOIDC
Practice location
- Address
- Psc Box 20183 2d Marine Special Operations Battalion, Camp Lejeune, NC 28542-0116
- Phone
- (910) 440-7704
- Mailing address
- Psc Box 20183 2d Marine Special Operations Battalion, Camp Lejeune, NC 28542-0183
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1043595861
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Oct 2011
- Record last updated
- 12 Oct 2011
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.