Individual
CODY ROBERT PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SO-IDC
Contact information
Practice address
3RD MARINE RAIDER BATTALION, BLDG 614, CAMP LEJEUNE, NC, NC 28542
(517) 748-1171
Mailing address
3RD MARINE RAIDER BATTALION, PSC BOX 20073, CAMP LEJEUNE, NC 28542
(910) 440-1788
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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