Brian Lee Hannibal is a student in an organized health care education training program in Moscow, ID. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Brian Lee Hannibal NPI is 1275109662. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
875 PERIMETER DR
MOSCOW, ID
ZIP 83844-803
Phone: (208) 640-9401
The enumeration date for this NPI number is 5/27/2021 and was last updated on 5/27/2021.