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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RUDY J LOPEZ, SO-IDC

Active

MR. RUDY J LOPEZ, SO-IDC is a Independent Duty Corpsman healthcare provider located in FORT BRAGG, North Carolina. NPI 1114284809 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · FORT BRAGG, NC

Registration Details

NPI Number
1114284809
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2012 (14.354398645241 yrs)
Last Updated
Apr 18, 2012
License
NEC HM8403 (NC)

Practice Information

Address
JOINT SPECIAL OPERATIONS MEDICAL CTR
USAJFKSWCS STOP A., 3004 ARDENNES ST.
FORT BRAGG, NC, 283109610
Browse NC providers · Browse ZIP 28310
Phone
9103697775
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in FORT BRAGG, NC

Name Credential NPI
MR. AMILCAR IVAN RODRIGUEZ SOIDC 1194077677
JOSHUA PAUL CUESTAS 1215520499
JEFFREY THOMAS BALDWIN 1790378040
MR. MATTHEW AARON CARLSON NRP 1497348684
KENNETH WADGINSKI 1285209759
KYLE MILLER SO-IDC 1912572348
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.