Individual provider · Type 1 NPI
Bradley David Kusler, MD
Military Health Care Provider · Offutt A F B, NE
NPI number
1104988385
Active
Practice location
105 Grant Cir Ste 133, 55th Amds-Sgps
Offutt A F B, NE 68113-4041
Fax (402) 294-9138
Mailing address
408 Fawn Park Cir
Council Bluffs, IA 51503-5294
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 29399 (IA) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Other military health care provider providers in Offutt A F B
About NPI 1104988385
Bradley David Kusler, MD's National Provider Identifier is 1104988385, issued on Dec 14, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Offutt A F B, NE. The record was last updated on Jul 8, 2007.