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MR. MICHAEL JAMES ELMER SOIDC

Other Service Providers Military Health Care Provider Independent Duty Corpsman

Provider NPI: 1023360856

Provider Information:
MR. MICHAEL JAMES ELMER SOIDC
Gender: M
Sole Proprietor

Practice Location:
2D RECON BN PSC BOX 20138 CAMP LEJEUNE, NC 28542-0138 US
Tel: 910-440-7712  Fax: --

Business Mailing Address:
2D RECON BN PSC BOX 20138 CAMP LEJEUNE, NC 28542-0138 US
Tel: 910-440-7712  Fax: --

NPI Information:
NPI: 1023360856
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1710I1002XOther Service Providers
Military Health Care Provider
Independent Duty Corpsman
NC

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 1710I1002X

Type:

Classification:



Definition:



MEDICAL JOBS NC - Page 1

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