NPI 1154555225

Claude Lyman Weidow, IDMT

Practitioner Independent Duty Medical Technicians Sheppard Afb, TX

Practice location

Address: 939 Missile Rd STE 3, Sheppard Afb, TX 76311-2263
Phone: (940) 676-6574
Fax: (940) 676-6922
Mailing address: 939 Missile Rd, STE 3, Wichita Falls, TX 76311

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1154555225
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2009
Record last updated: 5 May 2009

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.