NPI 1316170491
Jesse a Lopez, IDMT
Practice location
- Address
- 5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702
- Phone
- (907) 580-1562
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1316170491
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Aug 2009
- Record last updated
- 24 Aug 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.