BRIAN RUSSELL BALCOLM

MCCONNELL AFB, KS
NPI1205110368
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2011-10-06
Last Update Date2023-07-10
Business Address
BRIAN RUSSELL BALCOLM IDMT
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221-3505
Phone number: 316-759-6300
Mailing Address
BRIAN RUSSELL BALCOLM IDMT
57950 LEAVENWORTH ST
MCCONNELL AFB, KS 67221-3505
Phone number: 316-759-3600