NPI 1760944953

Torrian Tatum, IDMT

Practitioner Independent Duty Medical Technicians Kirtland Afb, NM

Practice location

Address: 2050a 2nd St SE, Kirtland Afb, NM 87117-7704
Phone: (505) 846-2396
Mailing address: 1313 Sydnor St, Houston, TX 77020-8237

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in New Mexico →

Registry record

NPI: 1760944953
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2019
Record last updated: 15 May 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.