DEREK R SUMMERS

CAMP LEJEUNE, NC
NPI1295353175
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-07-08
Last Update Date2026-07-29
Business Address
DEREK R SUMMERS IDC
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-4357
Mailing Address
DEREK R SUMMERS IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 619-392-5782
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