NPI 1346711579

Jimbell Gray, IDMT

Practitioner Independent Duty Medical Technicians Tyndall Afb, FL

Practice location

Address: 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403
Phone: (314) 226-8010

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1346711579
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2018
Record last updated: 20 Jan 2021

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.