Bradley Arthur Gannon, IDC

NPI #1013787357 in Camp Lejeune, North Carolina

Provider Information

NPI Number: 1013787357
Entity Type: Individual
Name: Bradley Arthur Gannon, IDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: IDC
Enumeration Date: Jan 8, 2024
Last Updated: Jan 8, 2024

Practice Location

Address: 2D RECON BN 2D MARINE DIVISION
City: Camp Lejeune
State: North Carolina
ZIP Code: 28546
Phone: (910) 440-7703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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