NPI 1336472307

Robert Wilson, IDMT

Practitioner Independent Duty Medical Technicians Robins Afb, GA

Practice location

Address: 655 7th St, Robins Afb, GA 31098-2227
Phone: (478) 918-6059
Mailing address: 2788 Golden Eagle Dr, Sierra Vista, AZ 85650-6868

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1336472307
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2009
Record last updated: 9 Sep 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.