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MR. ALEXANDER THOMAS RODGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
2ND RAIDER BATTALION, A66 BOAT BASIN RD, CAMP LEJEUNE, NC 28542
(910) 440-7704
Mailing address
2ND MRB PSC BOX 20183, CAMP LEJEUNE, NC 28542
(910) 440-7704

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
09/05/2019
Last updated
09/05/2019
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