Individual
BRANDON WAYNE SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
I.D.C.
Contact information
Practice address
SPECIAL BOAT TEAM 22, 2603 LOWER GAINESVILLE ROAD, STENNIS SPACE CENTER, MS 39529-0001
(228) 365-2306
Mailing address
SPECIAL BOAT TEAM 22, 2603 LOWER GAINESVILLE ROAD, STENNIS SPACE CENTER, MS 39529-0001
(228) 365-2306
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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