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Anthony Shattuck, SOIDC
NPI 1780838524 · on the registry since 2008
Practice
- Address
- 2d Marine Special Operations Battalion
Psc 20183
Camp Lejeune, NC 28542 - Phone
- (910) 450-7704
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Independent Duty Corpsman
1710I1002X
- Sex
- Male
- Record last updated
- 2008-11-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina