Daniel Openshaw IDMT

NPI 1164657250 - Military Health Care Provider - 1710I1003X

NPI Details
NPI 1164657250
Gender Male
Enumeration Date 05/19/2009
Last Updated 05/19/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
697 LOUISIANA DR
DYESS AFB TX, 79607-1367, US
Phone (325) 696-5490
Fax (325) 696-3320
Business Location
697 LOUISIANA DR
DYESS AFB TX, 79607-1367, US
Phone (325) 696-5490
Fax (325) 696-3320
Toxanomy
Taxonomy Code 1710I1003X
License State
License Number
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According to our database, Daniel Openshaw IDMT NPI is 1164657250, taxonomy code is 1710I1003X Daniel Openshaw IDMT physically located at 697 Louisiana Dr, Dyess Afb TX, 79607-1367. NPI Number Daniel Openshaw IDMT has the Individual type.

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1164657250 NPI number is provided on an as is basis without warranty of any kind. 1164657250 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Openshaw IDMT are for informational purposes only.