Paul Richard Mccracken, IDMT

NPI #1538396809 in Wright Patterson Afb, Ohio

Provider Information

NPI Number: 1538396809
Entity Type: Individual
Name: Paul Richard Mccracken, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Jun 15, 2009
Last Updated: Jun 15, 2009

Practice Location

Address: 4881 SUGAR MAPLE DR
City: Wright Patterson Afb
State: Ohio
ZIP Code: 45433-5546
Phone: (937) 257-1826

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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