NPI 1225272073

Landru Derek Medvec, IDMT

Practitioner Independent Duty Medical Technicians Eielson Afb, AK

Practice location

Address: 2422 Arctic Ave APT D, Eielson Afb, AK 99702
Phone: (907) 372-4458
Fax: (907) 372-4458
Mailing address: 2630 Central Ave Suite 1m07, Eielson Afb, AK 99702-2301

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Alaska →

Registry record

NPI: 1225272073
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2009
Record last updated: 23 Apr 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.