Fawn Ison, IDMT

NPI #1972737245 in Fort Bliss, Texas

Provider Information

NPI Number: 1972737245
Entity Type: Individual
Name: Fawn Ison, 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: Dec 15, 2015

Practice Location

Address: 11319 SSG SIMS ST
City: Fort Bliss
State: Texas
ZIP Code: 79918
Phone: (915) 744-2090

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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