NPI 1003278300

Amanda N Fawson, IDMT

Practitioner Independent Duty Medical Technicians Ogden, UT

Practice location

Address: 2155 Grant Ave APT 241, Ogden, UT 84401-1462
Phone: (435) 840-4113

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Utah →

Registry record

NPI: 1003278300
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2016
Record last updated: 25 Mar 2016

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.