Landru Derek Medvec, IDMT

NPI #1225272073 in Eielson Afb, Alaska

Provider Information

NPI Number: 1225272073
Entity Type: Individual
Name: Landru Derek Medvec, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Apr 23, 2009
Last Updated: Apr 23, 2009

Practice Location

Address: 2422 ARCTIC AVE
Address 2: APT D
City: Eielson Afb
State: Alaska
ZIP Code: 99702
Phone: (907) 372-4458

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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