NPI 1780702944

Bradley Ivan Gallimore, IDC

Practitioner Independent Duty Corpsman Brunswick, ME

Practice location

Address: 650 Sewall St Naval Air Station, Brunswick, ME 04011-5011
Phone: (207) 921-1621

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1780702944
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2007
Record last updated: 8 Jul 2007

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.