NPI 1356889976

Michael Robert Berg Thayer

Practitioner Intermediate Emergency Medical Technician Tacoma, WA

Practice location

Address: Madigan Army Medical Center 9040jackson Ave Attn: McHj-Clq-C, Tacoma, WA 98431-1100
Phone: (253) 968-1110

Registered specialties (2)

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence A2008424

Other Emergency Medical Technician, Intermediate providers in Washington →

Intermediate Emergency Medical Technician

Emergency Medical Service Providers Taxonomy 146M00000X Licence MED-AEMT-LIC-40939 (MT)

Registry record

NPI: 1356889976
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Feb 2017
Record last updated: 2 Feb 2017

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.