United States Air Force
NPI #1952532814 in Nellis Afb, Nevada
Provider Information
- NPI Number
- 1952532814
- Entity Type
- Organization
- Organization Name
- United States Air Force
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Enumeration Date
- Jul 27, 2009
- Last Updated
- Jul 27, 2009
Practice Location
- Address
- 4250 GRIFFISS AVE
- City
- Nellis Afb
- State
- Nevada
- ZIP Code
- 89191-7018
- Phone
- (702) 404-1142
Authorized Official
- Name
- FRED J PARKER
- Title
- IDMT/SSGT
- Phone
- (702) 404-1142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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