Whalio Doctors

NPI 1891847646

Thomas J Habiger, EMTI

Practitioner Intermediate Emergency Medical Technician Grants, NM

Practice location

Address
1213 Peel St, Grants, NM 87020-3511
Phone
(505) 287-8708
Fax
(505) 287-5160
Mailing address
PO Box 1921, Grants, NM 87020-1921

Registered specialties

Intermediate Emergency Medical Technician Primary
Emergency Medical Service Providers Taxonomy 146M00000X Licence 00023539 (NM)

Registry record

NPI
1891847646
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Jan 2007
Record last updated
8 Jul 2007

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.