Brian Russell Balcolm, IDMT
NPI #1205110368 in Mcconnell Afb, Kansas
Provider Information
- NPI Number
- 1205110368
- Entity Type
- Individual
- Name
- Brian Russell Balcolm, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Oct 6, 2011
- Last Updated
- Jul 10, 2023
Practice Location
- Address
- 57950 LEAVENWORTH ST
- City
- Mcconnell Afb
- State
- Kansas
- ZIP Code
- 67221-3505
- Phone
- (316) 759-6300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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