Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cody Robert Patton, SO-IDC

Individual provider Independent Duty Corpsman · NPI 1639735947

Cody Robert Patton, SO-IDC is an Independent Duty Corpsman in Camp Lejeune, Nc, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

3RD Marine Raider Battalion Bldg 614
Camp Lejeune, Nc, NC 28542
Phone: (517) 748-1171
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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 number1639735947
Entity typeIndividual (Type 1)
GenderMale
Credentials SO-IDC
Sole proprietorNo
NPI enumeratedMay 13, 2019
Last updated in NPPESMay 13, 2019