NPI 1013744697

Sofia Fitzgerald, IDMT

Practitioner Independent Duty Medical Technicians Dyess Afb, TX

Practice location

Address: 697 Louisiana Rd, Dyess Afb, TX 79607-1141
Phone: (229) 848-5222

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1013744697
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Sep 2024
Record last updated: 4 Jun 2025

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.