Individual
BRYAN GEORGE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 NEALY AVENUE, 1ST MEDICAL GROUP, LANGLEY AFB, VA 23665-2040
(757) 764-3842
Mailing address
77 NEALY AVENUE, 1ST MEDICAL GROUP, LANGLEY AFB, VA 23665-2040
(757) 764-3842
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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