NPI 1245931153

Jakob Creed

Practitioner Independent Duty Medical Technicians Cannon Afb, NM

Practice location

Address: 224 W D. L. Ingram Ave 1408, Cannon Afb, NM 88101
Phone: (832) 472-1645
Mailing address: 15338 Cheshunt Ln, Channelview, TX 77530-2202

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in New Mexico →

Registry record

NPI: 1245931153
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2023
Record last updated: 11 Aug 2023

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.