NPI 1518101245

Dane A. Looman, IDMT

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

Practice location

Address: 84 Bomber Rd 726 Acs/Sg, Mountain Home a F B, ID 83648-5272
Phone: (208) 828-3604
Fax: (208) 828-3616

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Idaho →

Registry record

NPI: 1518101245
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Apr 2009
Record last updated: 24 Apr 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.