NPI 1881828432

Chester Allen Wilds, IDMT

Practitioner Independent Duty Medical Technicians Lackland Afb, TX

Practice location

Address: 737 Trss, Lackland Afb, TX 78236-5511
Phone: (210) 671-1658

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1881828432
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 May 2009
Record last updated: 29 Oct 2009

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.