NPI 1396975363

Derick R Harris

Practitioner Independent Duty Medical Technicians Patrick Afb, FL

Practice location

Address: 1321 S Patrick Dr, Patrick Afb, FL 32925-3606
Phone: (321) 494-8245
Mailing address: 17211 32nd Ln N, Loxahatchee, FL 33470-3610

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1396975363
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jul 2009
Record last updated: 23 Jul 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.