Brody Tanner Ehalt, IDMT
NPI #1770232753 in Travis Afb, California
Provider Information
- NPI Number
- 1770232753
- Entity Type
- Individual
- Name
- Brody Tanner Ehalt, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Mar 18, 2022
- Last Updated
- Mar 18, 2022
Practice Location
- Address
- 101 BODIN CIR
- City
- Travis Afb
- State
- California
- ZIP Code
- 94535-1809
- Phone
- (707) 423-3826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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