NPI 1578189387
Eric Dylan Mason, IDMT
Practice location
- Address
- 2630 Central Ave, Eielson Afb, AK 99702-2301
- Phone
- (907) 377-6610
- Mailing address
- 736 Broadway St APT B, Eielson Afb, AK 99702-1344
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1578189387
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Jun 2020
- Record last updated
- 18 Jun 2020
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.