Individual
DAVID MICHAEL PONCE MORADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 451-3079
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 451-3079
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01093709A
IN
207P00000X
Emergency Medicine Physician
Primary
2025-00329
NC
Other
Enumeration date
04/14/2021
Last updated
07/14/2025
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