NPI 1083707327
Robert Anthony Bicanovsky, IDC
Practice location
- Address
- 881 Uss James Madison Rd, Kings Bay, GA 31547-2531
- Phone
- (912) 573-2410
- Mailing address
- 881 Uss James Madison Rd, Kings Bay, GA 31548-2537
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1083707327
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Oct 2006
- Record last updated
- 25 Jul 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.