MR. Jason Robert Douville, IDMT

NPI #1558597955 in Hurlburt Field, Florida

Provider Information

NPI Number
1558597955
Entity Type
Individual
Name
MR. Jason Robert Douville, IDMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDMT
Enumeration Date
Jun 1, 2009
Last Updated
Jan 25, 2012

Practice Location

Address
113 LIELMANIS AVE
State
Florida
ZIP Code
32544-5613
Phone
(850) 884-1168

Specialties & Taxonomy Codes

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

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