Andrew Zavala, IDMT

NPI #1164656088 in Scott Afb, Illinois

Provider Information

NPI Number
1164656088
Entity Type
Individual
Name
Andrew Zavala, IDMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDMT
Enumeration Date
May 6, 2009
Last Updated
May 6, 2009

Practice Location

Address
310 W LOSEY ST
Address 2
375TH MDG/SGOPG
ZIP Code
62225-5250
Phone
(618) 256-7129

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty Medical TechniciansIndependent Duty Medical Technicians

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