Individual
MR. BRIAN MICHAEL STRAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
5 NMCB 5 STREET, PORT HUENEME, CA 93041
(760) 885-5599
Mailing address
15057 ODELL LN, VICTORVILLE, CA 92394-1038
(760) 885-5599
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710I1002X
INDEPENDANT DUTY CORPSMAN
CA
Enumeration date
05/18/2007
Last updated
07/08/2007
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