Individual
EDWARD BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
A66 COURTHOUSE ROAD, CAMP LEJEUNE, NC 28547
(910) 440-7704
(910) 440-6530
Mailing address
PSC BOX 20183, CAMP LEJEUNE, NC 28542
(910) 440-7704
(910) 440-6530
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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