Hyo Tac Im, IDMT
NPI #1124797402 in Ellsworth Afb, South Dakota
Provider Information
- NPI Number
- 1124797402
- Entity Type
- Individual
- Name
- Hyo Tac Im, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Sep 9, 2021
- Last Updated
- Sep 9, 2021
Practice Location
- Address
- 2900 DOOLITTLE DR
- City
- Ellsworth Afb
- State
- South Dakota
- ZIP Code
- 57706-4821
- Phone
- (605) 385-6700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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