MR. Michael C Etheredge II, IDMT
NPI #1639729106 in Langley Afb, Virginia
Provider Information
- NPI Number
- 1639729106
- Entity Type
- Individual
- Name
- MR. Michael C Etheredge II, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Sep 17, 2019
- Last Updated
- Sep 17, 2019
Practice Location
- Address
- 77 NEALY AVE
- City
- Langley Afb
- State
- Virginia
- ZIP Code
- 23665-2040
- Phone
- (757) 764-6800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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