NPI 1043516610

Charles Delvon Pickett, IDMT

Practitioner Independent Duty Medical Technicians Luke Afb, AZ

Practice location

Address: 7019 N Litchfield Ave Luke Afb, 56/Amds, Luke Afb, AZ 85309
Phone: (623) 856-7527
Mailing address: 16240 W Pima St, Goodyear, AZ 85338-7927

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Arizona →

Registry record

NPI: 1043516610
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2011
Record last updated: 30 Aug 2011

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.