Dane A. Looman, IDMT
NPI #1518101245 in Mountain Home a F B, Idaho
Provider Information
- NPI Number
- 1518101245
- Entity Type
- Individual
- Name
- Dane A. Looman, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Apr 24, 2009
- Last Updated
- Apr 24, 2009
Practice Location
- Address
- 84 BOMBER RD
- Address 2
- 726 ACS/SG
- State
- Idaho
- ZIP Code
- 83648-5272
- Phone
- (208) 828-3604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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