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DAVE ALAN LEWIS IDMT

Independent Duty Medical Technicians >> Military Health Care Provider >> Other Service Providers

Registrant NPI Number: 1548495609

Individual Registrant:
 DAVE ALAN LEWIS IDMT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
14793 W CORSAIR ST  LUKE AFB, AZ 85309-1602 US
Tel: 623-856-7340  Fax: --

Contact information for business:
12605 W SHERIDAN ST  AVONDALE, AZ 85392-6552 US
Tel: --  Fax: --

Registration Information:
NPI: 1548495609
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1710I1003XOther Service Providers
Military Health Care Provider
Independent Duty Medical Technicians

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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