LANCE NUSSBAUM

HILL AFB, UT
NPI1689624678
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2083A0100X Preventive Medicine Aerospace Medicine
(Licence: OH  34008122)
Enumeration Date2006-05-11
Last Update Date2020-06-26
Business Address
DR. LANCE NUSSBAUM DO
7321 BALMER ST BLDG 570
HILL AFB, UT 84056-5012
Phone number: 801-586-9772
Mailing Address
DR. LANCE NUSSBAUM DO
7321 BALMER ST BLDG 570
HILL AFB, UT 84056-5012
Phone number: 937-956-3434