Roong Robert Burket, IDMT

NPI #1447487749 in Moody a F B, Georgia

Provider Information

NPI Number: 1447487749
Entity Type: Individual
Name: Roong Robert Burket, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Jun 15, 2009
Last Updated: Jun 15, 2009

Practice Location

Address: 347 OSS OSM
City: Moody a F B
State: Georgia
ZIP Code: 31699-0001
Phone: (229) 257-3874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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