Keaton James Rider
NPI #1083369938 in Cannon Afb, New Mexico
Provider Information
- NPI Number
- 1083369938
- Entity Type
- Individual
- Name
- Keaton James Rider
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Enumeration Date
- Feb 18, 2022
- Last Updated
- Aug 2, 2022
Practice Location
- Address
- 104 W D.L. INGRAM AVE
- City
- Cannon Afb
- State
- New Mexico
- ZIP Code
- 88101
- Phone
- (575) 784-2778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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