NPI 1376779959

Tracey L Gilmore, IDMT

Practitioner Independent Duty Medical Technicians Glendale, AZ

Practice location

Address: 3739 W Helena Dr, Glendale, AZ 85308-3105
Phone: (481) 414-6513

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1376779959
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2009
Record last updated: 9 Jun 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.