NPI 1033452206

Jason Anthony Evans, IDMT

Practitioner Independent Duty Medical Technicians Cannon Afb, NM

Practice location

Address: 224 W D. L. Ingram Avenue Bldg. 1408, Cannon Afb, NM 88101
Phone: (310) 686-2656
Mailing address: 8808 Clovis CT APT a, Clovis, NM 88101-8593

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in New Mexico →

Registry record

NPI: 1033452206
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2013
Record last updated: 22 Mar 2024

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.