Individual
TREY MICHAEL PASTIRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
FC309B H M SMITH BLVD, CAMP LEJEUNE, NC 28539
(210) 823-4172
Mailing address
HM SMITH BLVD, BLDG 309A, CAMP LEJEUNE, NC 28547
(910) 450-4357
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/28/2021
Last updated
06/09/2022
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