NPI 1578343109

Anrei Halley, IDMT

Practitioner Independent Duty Medical Technicians Ellsworth Afb, SD

Practice location

Address: 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821
Phone: (260) 760-7599
Mailing address: 1194 Dakota Dr, Box Elder, SD 57719-2412

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in South Dakota →

Registry record

NPI: 1578343109
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2023
Record last updated: 2 Oct 2023

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.