MRS. Patricia Mottram, IDMT

NPI #1295962207 in Hill Afb, Utah

Provider Information

NPI Number: 1295962207
Entity Type: Individual
Name: MRS. Patricia Mottram, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Jun 17, 2009
Last Updated: Jun 17, 2009

Practice Location

Address: 7321 BALMER ST BLDG 569
City: Hill Afb
State: Utah
ZIP Code: 84056-5012
Phone: (801) 777-4710

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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