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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN RUSSELL BALCOLM, IDMT

Active

BRIAN RUSSELL BALCOLM, IDMT is a Independent Duty Medical Technician healthcare provider located in MCCONNELL AFB, Kansas. NPI 1205110368 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Medical Technician · MCCONNELL AFB, KS

Registration Details

NPI Number
1205110368
Provider Type
Individual
Gender
Male
NPI Issued
Oct 6, 2011 (14.815391398904 yrs)
Last Updated
Jul 10, 2023

Practice Information

Address
57950 LEAVENWORTH ST
MCCONNELL AFB, KS, 672213505
Browse KS providers · Browse ZIP 67221
Phone
3167596300
Primary Specialty
Independent Duty Medical Technician
1710I1003X

Other Independent Duty Medical Technician Providers in MCCONNELL AFB, KS

Name Credential NPI
JOHN LA CRUZ IDMT 1760616015
RICHARD JIMENEZ RUBI IDMT 1922232271
MS. JANICE RENEE FAUGHT IDMT 1255569612
MS. RACHEL BELDEN CRUZ IDMT 1235402165
BROOKE ELIZABETH PRINE IDMT 1740613397
MARK FRISKEL IDMT 1790236503
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.