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Mr. Brian Casey Pruett, IDC
Military Health Care Provider in Bremerton, Washington
NPI 1013187830

Brian Casey Pruett is a Military Health Care Provider based in Bremerton, WA. Brian Casey Pruett practices in Bremerton, WA and has the professional credentials of IDC. The NPI Number for Brian Casey Pruett is 1013187830 and holds a License No. (Washington).

The current practice location address for Brian Casey Pruett is 1 Boone Rd, Bremerton, WA and can be reached out via phone at 360-475-4236. You can also correspond with Brian Casey Pruett through the mailing address at 1 BOONE RD, BREMERTON, WA - 98312-1894 (mailing address contact number: ).

Location: 1 Boone Rd, Bremerton, WA, 98312-1894
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013187830
Provider Name
Brian Casey Pruett
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
1 Boone Rd, Bremerton, WA, 98312-1894
Phone Number
360-475-4236
Fax Number
Provider Enumeration Date
03/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Boone Rd
City
Bremerton
State
Washington
Zip
98312-1894
Phone Number
360-475-4236
Fax Number
person
Provider Business Mailing Address Details
Address
1 Boone Rd
City
Bremerton
State
Washington
Zip
98312-1894
Phone Number
360-475-4236
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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