NPI 1063975001

Collin Schroeder, IDMT

Practitioner Independent Duty Medical Technicians Scott Afb, IL

Practice location

Address: 310 W Losey St, Scott Afb, IL 62225-5250
Phone: (618) 256-7311
Mailing address: 4551 Unit a Stoney Point CT, Scott Afb, IL 62225

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1063975001
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2019
Record last updated: 8 Apr 2019

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.