Gary A Byrum, IDC

NPI #1508161894 in Indian Head, Maryland

Provider Information

NPI Number
1508161894
Entity Type
Individual
Name
Gary A Byrum, IDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Jan 18, 2011
Last Updated
Jan 18, 2011

Practice Location

Address
2008 STUMP NECK RD
Address 2
NAVAL EXPLOSIVE ORDNANCE DISPOSAL TECHNOLOGY DIVISION
ZIP Code
20640-5070
Phone
(757) 375-2160

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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