Individual
BRIAN MICHAEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT, 18D, ATP
Contact information
Practice address
BUILDING T3358 18TH SPECIAL FORCES WAY, HOFFMAN, NC 28347
(910) 396-8115
Mailing address
2817 REILLY ST, FORT LIBERTY, NC 28310-7324
(760) 443-9822
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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