IndividualActive
Austin Willard, SOIDC
NPI 1841904307 · Independent Duty Corpsman · Camp Lejeune, NC
Provider details
- NPI number
- 1841904307
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SOIDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
3d Marine Raider Battalion
Camp Lejeune, NC 28542-0073
Phone: (910) 440-1947
Approximate (ZIP-level) locationGet directions
Mailing address
3d Marine Raider Battalion
Camp Lejeune, NC 28542-0073
Registry dates
- Enumerated
- 2023-01-10
- Last updated
- 2023-01-10
- Certified
- 2023-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.