Timothy Eno, IDMT

NPI #1033527262 in Travis Afb, California

Provider Information

NPI Number: 1033527262
Entity Type: Individual
Name: Timothy Eno, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Jul 31, 2014
Last Updated: Jul 31, 2014

Practice Location

Address: 101 BODIN CIR
City: Travis Afb
State: California
ZIP Code: 94535-1809
Phone: (707) 423-3987

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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