NPI 1023245560

Chad Michael Smith, IDMT

Practitioner Independent Duty Medical Technicians Bolling Afb, DC

Practice location

Address: 238 Brookley Ave, Bolling Afb, DC 20032
Phone: (202) 754-1458
Mailing address: 13037 Arlington St, Omaha, NE 68164-1643

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in District of Columbia →

Registry record

NPI: 1023245560
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2009
Record last updated: 11 Jun 2009

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.