Jesse Ferrell, IDMT
NPI #1215638101 in Cannon Afb, New Mexico
Provider Information
- NPI Number
- 1215638101
- Entity Type
- Individual
- Name
- Jesse Ferrell, IDMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Mar 16, 2023
- Last Updated
- Jan 17, 2025
Practice Location
- Address
- 224 W DL. INGRAM AVE
- Address 2
- BLDG 1408
- City
- Cannon Afb
- State
- New Mexico
- ZIP Code
- 88101
- Phone
- (575) 784-8512
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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