Bryan Michael Wallace, SOIDC
Bryan Michael Wallace, SOIDC is an Independent Duty Corpsman in Camp Lejeune, North Carolina. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1ST Marine Raider Battalion Stone BayCamp Lejeune, NC 28542
Phone: (910) 440-2504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1336825926 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SOIDC |
| Sole proprietor | No |
| NPI enumerated | June 27, 2023 |
| Last updated in NPPES | June 30, 2023 |
| Certification date | June 30, 2023 |
Other providers in Camp Lejeune
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Philip Troxel, IDC
100 Brewster Blvd, Camp Lejeune, NC 28547-2575 · (910) 450-4357
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