MR. Jason Anthony Evans, IDMT
NPI #1033452206 in Cannon Afb, New Mexico
Provider Information
- NPI Number
- 1033452206
- Entity Type
- Individual
- Name
- MR. Jason Anthony Evans, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Apr 5, 2013
- Last Updated
- Mar 22, 2024
Practice Location
- Address
- 224 W D. L. INGRAM AVENUE
- Address 2
- BLDG. 1408
- City
- Cannon Afb
- State
- New Mexico
- ZIP Code
- 88101
- Phone
- (310) 686-2656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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