Individual
BRENDAN MICHAEL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2D MARINE SPECIAL OPERATIONS BATTALION, PCS BOX 20183, CAMP LEJEUNE, NC 28542-0183
(910) 440-7704
Mailing address
2D MARINE SPECIAL OPERATIONS BATTALION, PCS BOX 20183, CAMP LEJEUNE, NC 28542-0183
(910) 440-7704
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
39352435
NC
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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