Daniel Lewis Tyson, IDMT
NPI #1245474667 in Clovis, New Mexico
Provider Information
- NPI Number
- 1245474667
- Entity Type
- Individual
- Name
- Daniel Lewis Tyson, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Apr 29, 2009
- Last Updated
- Apr 29, 2009
Practice Location
- Address
- 208 W CASABLANCA AVE
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88103-5009
- Phone
- (575) 784-7801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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