NPI 1033353529
Reth El, IDMT
Practice location
- Address
- 113 Howie Walters Rd, Hurlburt Field, FL 32544-5668
- Phone
- (850) 884-1168
- Mailing address
- 225 Bennett Ave 1soss/Osm, Hurlburt Field, FL 32544-5707
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1033353529
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 Apr 2009
- Record last updated
- 24 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.