NPI 1497374011

Austin G Watson, IDMT

Practitioner Independent Duty Medical Technicians Kirtland Afb, NM

Practice location

Address: 2050a 2nd St SE, Kirtland Afb, NM 87117-5613
Phone: (505) 846-2396
Mailing address: 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1497374011
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2020
Record last updated: 20 Oct 2021

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.