Dane J Tackitt, IDMT

NPI #1366672750 in Hill Afb, Utah

Provider Information

NPI Number
1366672750
Entity Type
Individual
Name
Dane J Tackitt, IDMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDMT
Enumeration Date
Jul 20, 2009
Last Updated
Jul 20, 2009

Practice Location

Address
7338 LONCKI ST
State
Utah
ZIP Code
84056-7300
Phone
(801) 777-4710

Specialties & Taxonomy Codes

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

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