NPI 1245474667

Daniel Lewis Tyson, IDMT

Practitioner Independent Duty Medical Technicians Clovis, NM

Practice location

Address: 208 W Casablanca Ave, Clovis, NM 88103-5009
Phone: (575) 784-7801

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in New Mexico →

Registry record

NPI: 1245474667
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2009
Record last updated: 29 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.