NPI 1952859381

Phoenix Rising Horn, EMTPARAMEDIC

Practitioner Paramedic Tacoma, WA

Practice location

Address: Madigan Army Medical Center 9040 Jackson Ave Attn: McHj-Clq-C, Tacoma, WA 98431-1100
Phone: (253) 968-1100
Mailing address: Madigan Army Medical Center, 9040 Jackson Ave. Attn: McHj-Clq-C, Tacoma, WA 98431-1100

Registered specialties

Paramedic Primary

Emergency Medical Service Providers Taxonomy 146L00000X Licence 146L00000X (WA)

Other Emergency Medical Technician, Paramedic providers in Washington →

Registry record

NPI: 1952859381
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2016
Record last updated: 14 Sep 2016

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.