NPI 1336528363

Talon Miner, MSDO

Practitioner General Practice Physician Apo, AE

Practice location

Address: 48 Mdg Unit 5115, Apo, AE 09461-5115
Phone: (314) 226-8852
Mailing address: 48th Medical Group Raf Lakenheath, Unit 5115, Apo, AE 09461-5115

Registered specialties (4)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 1586 (NE)

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Military Health Care Provider

Other Service Providers Taxonomy 171000000X Licence 1586 (NE)

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Aerospace Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence 1586 (NE)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1336528363
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2015
Record last updated: 26 Sep 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.