NPI 1043597768

Brendan Michael Moore

Practitioner Independent Duty Corpsman Camp Lejeune, NC

Practice location

Address: 2d Marine Special Operations Battalion Pcs Box 20183, Camp Lejeune, NC 28542-0183
Phone: (910) 440-7704

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X Licence 39352435 (NC)

Other Military Health Care Provider providers in North Carolina →

Registry record

NPI: 1043597768
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Nov 2011
Record last updated: 9 Nov 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.