BRETT RANDALL, IDMT

Military Health Care Provider - Independent Duty Medical Technicians

Active Individual
NPI: 1114261526

Practice Address

204 W HILL BLVD
Charleston Afb, SC 29404

Phone: (843) 963-6880

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Medical Technicians 1710I1003X Yes -

Frequently Asked Questions

NPI 1114261526 is the National Provider Identifier for BRETT RANDALL, IDMT, a Military Health Care Provider - Independent Duty Medical Technicians provider located in Charleston Afb, SC. This NPI was enumerated on November 26, 2012.
BRETT RANDALL, IDMT practices at 204 W HILL BLVD, Charleston Afb, SC 29404.

Quick Facts

NPI
1114261526
Type
Individual
Enumerated
Nov 26, 2012
Last Updated
Jul 4, 2014

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