NPI 1447480686

Julian Keith Little

Practitioner Independent Duty Medical Technicians Mountain Home, ID

Practice location

Address: Mountain Home Afb 90 Hope Dr. Bldg 6000/366 Med Gp/Amds/Sgpf, Mountain Home, ID 83648
Phone: (208) 828-7401
Mailing address: 1285 Owyhee CT, Mountain Home, ID 83647-1925

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Idaho →

Registry record

NPI: 1447480686
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2009
Record last updated: 22 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.