Daniel L Thetford IDMT

NPI 1649409111 - Military Health Care Provider - 1710I1003X

NPI Details
NPI 1649409111
Gender Male
Enumeration Date 07/06/2009
Last Updated 07/06/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
UNIT 2060
APO AP, 96278-2060, US
Phone 820316612618
Business Location
PSC 3 BOX 8838
APO AP, 96266-0177, US
Taxonomy Code 1710I1003X
License State
License Number
Remove 1649409111 NPI Number

According to our database, Daniel L Thetford IDMT NPI is 1649409111, taxonomy code is 1710I1003X Daniel L Thetford IDMT physically located at Unit 2060, Apo AP, 96278-2060. NPI Number Daniel L Thetford IDMT has the Individual type.

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1649409111 NPI number is provided on an as is basis without warranty of any kind. 1649409111 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel L Thetford IDMT are for informational purposes only.