Individual
RYAN BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
2864 WOODRUFF ST, FORT BRAGG, NC 28302
(910) 394-3030
Mailing address
422 HILL RD, SOUTHERN PINES, NC 28387-6637
(810) 334-6570
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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