IndividualActive
Edwin Soto, IDC
NPI 1508873092 · Independent Duty Corpsman · Camp Lejeune, NC
Provider details
- NPI number
- 1508873092
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Practice location
Combat Logistics Regiment 27
2d Marine Logistics Group, Psc Box 20125
Camp Lejeune, NC 28542-0125
Phone: (910) 450-6673
Mailing address
1003 Pine Valley Rd
Jacksonville, NC 28546-1647
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.