MR. Robert Anthony Bicanovsky, IDC

NPI #1083707327 in Kings Bay, Georgia

Provider Information

NPI Number: 1083707327
Entity Type: Individual
Name: MR. Robert Anthony Bicanovsky, IDC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: IDC
Enumeration Date: Oct 1, 2006
Last Updated: Jul 25, 2008

Practice Location

Address: 881 USS JAMES MADISON RD
City: Kings Bay
State: Georgia
ZIP Code: 31547-2531
Phone: (912) 573-2410

Specialties & Taxonomy Codes

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

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