Individual
BOBBY RAY PHILLIPS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
3D MARINE RAIDER BATTALION, RR612 EVERETT CREEK RD, CAMP LEJEUNE, NC 28542-0073
(910) 440-1947
Mailing address
3D MARINE RAIDER BATTALION, PSC BOX 20073, CAMP LEJEUNE, NC 28542-0073
(910) 440-1947
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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