Individual
MR. ZACHARY ALBERT KROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MILITARY HEALTH CARE
Contact information
Practice address
3D MARINE RAIDER BATTALION PSC 20073, CAMP LEJEUNE, NC 28542-0073
(916) 884-4929
Mailing address
3D MARINE RAIDER BATTALION PSC BOX 20073, CAMP LEJEUNE, NC 28542-0073
(916) 884-4929
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1391686943
DOD PROVIDER
—
Enumeration date
09/22/2022
Last updated
09/22/2022
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