NPI 1366672750

Dane J Tackitt, IDMT

Practitioner Independent Duty Medical Technicians Hill Afb, UT

Practice location

Address: 7338 Loncki St, Hill Afb, UT 84056-7300
Phone: (801) 777-4710

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Utah →

Registry record

NPI: 1366672750
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2009
Record last updated: 20 Jul 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.