# U.S. MARINE CORPS FORCES COMMAND

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699987438
- **Authorized official:** DR. MICHAEL SCOTT MOELLER MD (GROUP SURGEON, 2D MARINE LOG GRP)
- **Authorized official phone:** (910) 450-6672

## Contact information

- **Practice address:** CLR-27, 2D MLG, PSC BOX 20125, BLDG 308, HOLCOLM BLVD., CAMP LEJEUNE, NC 28542
- **Practice address phone:** (910) 450-6672
- **Mailing address:** HEALTH SERVICES SUPPORT 1468 INGRAM ST, NORFOLK, VA 23551-2596
- **Mailing address phone:** (757) 836-1685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | MD-6125 | HI | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 08/22/2020