NPI 1396017786
Bryant Adam Axtell, IDMT
Practice location
- Address
- 340 Magnolia Cir, Panama City, FL 32403-5604
- Phone
- (850) 283-7591
- Mailing address
- 2648 Avondale CT, Panama City, FL 32404-3090
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1396017786
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Feb 2012
- Record last updated
- 1 Feb 2012
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.