MR. Dexter Eli Vanderpool, IDMT

NPI #1760625974 in Eglin Afb, Florida

Provider Information

NPI Number: 1760625974
Entity Type: Individual
Name: MR. Dexter Eli Vanderpool, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Apr 17, 2009
Last Updated: Apr 17, 2009

Practice Location

Address: 101 GRIFFIN WAY
City: Eglin Afb
State: Florida
ZIP Code: 32542
Phone: (850) 883-4487

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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