NPI 1548495609

Dave Alan Lewis, IDMT

Practitioner Independent Duty Medical Technicians Luke Afb, AZ

Practice location

Address: 14793 W Corsair St, Luke Afb, AZ 85309-1602
Phone: (623) 856-7340
Mailing address: 12605 W Sheridan St, Avondale, AZ 85392-6552

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1548495609
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2009
Record last updated: 19 May 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.