Individual
BRIAN W SIGNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
243 CUTISS RD, 2 MDG, BARKSDALE AFB, LA 71110
(318) 456-8576
Mailing address
243 CUTISS RD, 2 MDG, BARKSDALE AFB, LA 71110
(318) 456-8576
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/07/2009
Last updated
08/02/2012
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