NPI 1104393446

Matthew Gray, IDMT

Practitioner Independent Duty Medical Technicians Eielson Afb, AK

Practice location

Address: 2630 Central Ave, Eielson Afb, AK 99702-2301
Phone: (931) 220-2210

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Alaska →

Registry record

NPI: 1104393446
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2018
Record last updated: 24 Oct 2018

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.