NPI 1164657136

Raul Romero, IDMT

Practitioner Independent Duty Medical Technicians Dmafb, AZ

Practice location

Address: 4575 S. Phoenix St. 563rd Oss, Dmafb, AZ 85707
Phone: (520) 228-1859

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1164657136
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 May 2009
Record last updated: 20 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.