NPI 1356667687

Benjamen E Pennington, IDMT

Practitioner Independent Duty Medical Technicians Whiteman Afb, MO

Practice location

Address: 310 Houx Dr, Whiteman Afb, MO 65305-1130
Phone: (660) 238-7570

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Missouri →

Registry record

NPI: 1356667687
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2010
Record last updated: 12 Apr 2010

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.