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RICHARD BENKOVICS IDMT

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

Registrant NPI Number: 1134355316

Individual Registrant:
 RICHARD  BENKOVICS IDMT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5955 ZEAMER AVE 3 AMDS ELMENDORF AFB, AK 99506-3702 US
Tel: 907-551-2021  Fax: 907-551-4001

Contact information for business:
5955 ZEAMER AVE 3 AMDS ELMENDORF AFB, AK 99506-3702 US
Tel: --  Fax: --

Registration Information:
NPI: 1134355316
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




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