NPI 1205110368

Brian Russell Balcolm, IDMT

Practitioner Independent Duty Medical Technicians McConnell Afb, KS

Practice location

Address: 57950 Leavenworth St, McConnell Afb, KS 67221-3505
Phone: (316) 759-6300

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1205110368
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Oct 2011
Record last updated: 10 Jul 2023

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.