NPI 1033527262

Timothy Eno, IDMT

Practitioner Independent Duty Medical Technicians Travis Afb, CA

Practice location

Address: 101 Bodin Cir, Travis Afb, CA 94535-1809
Phone: (707) 423-3987

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1033527262
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2014
Record last updated: 31 Jul 2014

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.