Individual
MR. RICHARD JUSTIN ENGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NAVY IDC
Contact information
Practice address
2ND BATTALION 9TH MARINES BLDG. 514, 2ND MARINE DIVISION, CAMP LEJEUNE, NC 28542
(910) 450-9431
Mailing address
606 PLAZA DR, JACKSONVILLE, NC 28540-5128
(678) 656-8999
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
1710I1002X
NC
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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