MR. Bradley Ivan Gallimore, IDC

NPI #1780702944 in Brunswick, Maine

Provider Information

NPI Number: 1780702944
Entity Type: Individual
Name: MR. Bradley Ivan Gallimore, IDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: IDC
Enumeration Date: Mar 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 650 SEWALL ST
Address 2: NAVAL AIR STATION
City: Brunswick
State: Maine
ZIP Code: 04011-5011
Phone: (207) 921-1621

Specialties & Taxonomy Codes

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

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