Individual
TUCKER CODY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PSC BOX 20080, DIVISION SURGEONS OFFICE, CAMP LEJEUNE, NC 28542-0800
(503) 833-2602
Mailing address
PSC BOX 20080, DIVISION SURGEONS OFFICE, CAMP LEJEUNE, NC 28542-0800
(503) 833-2602
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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