NPI 1891930244
United States Air Force
Practice location
- Address
- 6501 Vegas Dr APT 1034, Las Vegas, NV 89108-7773
- Phone
- (318) 347-4651
Authorised official
- Name
- Jason Robert Crockett
- Title
- PA Student
- Phone
- (318) 347-4651
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1891930244
- Entity type
- Organization
- NPI issued
- 12 Dec 2008
- Record last updated
- 12 Dec 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.