Individual
MR. BRENT FRANCIS BACHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2817 REILLY STREET, FORT BRAGG, NC 28310
(910) 907-8617
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 907-8617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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