NPI 1861800096

Tyree Wolf, IDMT

Practitioner Independent Duty Medical Technicians Mountain Home Afb, ID

Practice location

Address: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062
Phone: (210) 828-7401

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Idaho →

Registry record

NPI: 1861800096
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2014
Record last updated: 31 Jul 2014

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.