NPI 1366758484

Connie Prewett

Practitioner Other Technician Fort Leonard Wood, MO

Practice location

Address: 126 Missouri Ave Box 1263, Fort Leonard Wood, MO 65473-8952
Phone: (573) 596-0048
Fax: (573) 596-0716

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Missouri →

Registry record

NPI: 1366758484
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2010
Record last updated: 26 Aug 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.