NPI 1629436977

Justin Chiasson, IDMT

Practitioner Independent Duty Medical Technicians Davis Monthan Afb, AZ

Practice location

Address: 4175 S Alamo Ave Bldg 400, Davis Monthan Afb, AZ 85707-4402
Phone: (626) 715-8203

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Arizona →

Registry record

NPI: 1629436977
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Feb 2016
Record last updated: 2 Feb 2016

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.