NPI 1588996243

Luke William Willis, IDMT

Practitioner Independent Duty Medical Technicians Colorado Springs, CO

Practice location

Address: 1965 Shawnee Dr, Colorado Springs, CO 80915-1920
Phone: (719) 375-4057

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Colorado →

Registry record

NPI: 1588996243
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Feb 2010
Record last updated: 5 Feb 2010

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.