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Organization

U.S. MARINE CORPS FORCES COMMAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL SCOTT MOELLER MD (GROUP SURGEON, 2D MARINE LOG GRP)
(910) 450-6672
Entity
Organization

Contact information

Practice address
CLR-27, 2D MLG, PSC BOX 20125, BLDG 308, HOLCOLM BLVD., CAMP LEJEUNE, NC 28542
(910) 450-6672
Mailing address
HEALTH SERVICES SUPPORT 1468 INGRAM ST, NORFOLK, VA 23551-2596
(757) 836-1685

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
MD-6125
HI

Other

Enumeration date
05/04/2007
Last updated
08/22/2020
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