Clayton Silas Argall, SOIDC

Individual provider Active NPI Independent Duty Corpsman · Camp Lejeune, NC

NPI 1780919068 · NPPES record last updated Oct 5, 2009

Key facts

NPI
1780919068
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Corpsman 1710I1002X
Practice address
2D Msob
Camp Lejeune, NC 28542
Phone
(910) 440-7704
NPI assigned
Oct 5, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Yes

Addresses

Primary practice location

2D Msob
Camp Lejeune, NC 28542

Mailing address

764 5 Mile Rd
Richlands, NC 28574-5212
Phone (910) 376-6340

Other providers in Camp Lejeune, NC

All providers in Camp Lejeune, NC · Independent Duty Corpsman in North Carolina

Sources for this page

Verify at the official NPI Registry.