IndividualActive
Blake Reynolds, SOIDC
NPI 1316239197 · Independent Duty Corpsman · Camp Lejeune, NC
Provider details
- NPI number
- 1316239197
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SOIDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
2d Msob, Bldg. A-66
Camp Lejeune, NC 28542-0183
Phone: (910) 440-7704
Approximate (ZIP-level) locationGet directions
Mailing address
Psc Box 20116
Camp Lejeune, NC 28542-0116
Registry dates
- Enumerated
- 2011-05-11
- Last updated
- 2011-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.