Bradley Arthur Gannon, IDC
Bradley Arthur Gannon, IDC is an Independent Duty Corpsman in Camp Lejeune, North Carolina. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2D Recon Bn 2D Marine DivisionCamp Lejeune, NC 28546
Phone: (910) 440-7703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1013787357 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | January 8, 2024 |
| Last updated in NPPES | January 8, 2024 |
| Certification date | January 4, 2024 |
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