NPI 1245465137

Gregory Royce Beavers, IDMT

Practitioner Independent Duty Medical Technicians Offutt a F B, NE

Practice location

Address: 2501 Capehart Rd, Offutt a F B, NE 68113-1043
Phone: (402) 294-9429
Fax: (402) 232-1644

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Nebraska →

Registry record

NPI: 1245465137
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.