NPI 1538396809

Paul Richard McCracken, IDMT

Practitioner Independent Duty Medical Technicians Wright Patterson Afb, OH

Practice location

Address: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5546
Phone: (937) 257-1826
Mailing address: 303 Crest Hill Ave, Vandalia, OH 45377-1558

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Ohio →

Registry record

NPI: 1538396809
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2009
Record last updated: 15 Jun 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.