John La Cruz, IDMT

NPI #1760616015 in Mcconnell Afb, Kansas

Provider Information

NPI Number
1760616015
Entity Type
Individual
Name
John La Cruz, IDMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDMT
Enumeration Date
May 14, 2009
Last Updated
May 14, 2009

Practice Location

Address
22 MDG
State
Kansas
ZIP Code
67221-3712
Phone
(316) 759-5116

Specialties & Taxonomy Codes

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

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