NPI 1932567286

Michael John-Paul Triana, IDMT

Practitioner Independent Duty Medical Technicians Ellsworth Afb, SD

Practice location

Address: 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821
Phone: (316) 640-2150

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1932567286
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Feb 2016
Record last updated: 1 Aug 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.