NPI 1407086473

Jeffrie Neil Mayberry, IDMT

Practitioner Independent Duty Medical Technicians Mountain Home a F B, ID

Practice location

Address: 90 Hope Dr Bldg 6000, Mountain Home a F B, ID 83648-1062
Phone: (208) 828-7100

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Idaho →

Registry record

NPI: 1407086473
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.