Healthcare Provider Details

I. General information

NPI: 1730009754
Provider Name (Legal Business Name): CAMERON BRUCE STERIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49000 ARMY GUARD ROAD
FPO AA
99505
US

IV. Provider business mailing address

49000 ARMY GUARD ROAD
FPO AA
99505
US

V. Phone/Fax

Practice location:
  • Phone: 315-489-6989
  • Fax:
Mailing address:
  • Phone: 315-489-6989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1710I1003X
TaxonomyIndependent Duty Medical Technicians
License Number
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: