NPI 1366901738

Taten Brent Swanson

Practitioner Independent Duty Medical Technicians Offutt Afb, NE

Practice location

Address: 2501 Capehart Rd, Offutt Afb, NE 68113-1043
Phone: (402) 294-6033
Mailing address: 3056 Pease Dr, Bellevue, NE 68123-1424

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1366901738
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2019
Record last updated: 15 Mar 2019

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.