NPI 1558700104

Tadd Olin Knox Ragsdale, IDMT

Practitioner Independent Duty Medical Technicians Beale Afb, CA

Practice location

Address: 3062 Troutman Dr, Beale Afb, CA 95903-2329
Phone: (916) 757-4603

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1558700104
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2013
Record last updated: 17 Jun 2013

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.