NPI 1366686842

Steven Brandon Yates, IDMT

Practitioner Independent Duty Medical Technicians Cannon Afb, NM

Practice location

Address: 208 W Casablanca Ave, Cannon Afb, NM 88103-5009
Phone: (575) 784-7801
Mailing address: 119 E Arcadia Ave Bldg 622 27th Soss/Osm, Cannon Afb, NM 88103-5112

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in New Mexico →

Registry record

NPI: 1366686842
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2009
Record last updated: 28 Apr 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.