Individual
BRYAN THOMAS COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(859) 512-8828
Mailing address
5013 BROOMSEDGE DR, DAYTON, OH 45431-3525
(859) 512-8828
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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