NPI 1326282138

Tara Lynn Dommert-Harrison, IDMT

Practitioner Independent Duty Medical Technicians Ellsworth Afb, SD

Practice location

Address: 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821
Phone: (605) 385-3433
Mailing address: 1317 Summerfield Dr, Rapid City, SD 57703-4709

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in South Dakota →

Registry record

NPI: 1326282138
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2009
Record last updated: 30 Nov 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.