MR. MICHAEL ETHEREDGE II, IDMT
Military Health Care Provider - Independent Duty Medical Technicians
Active
Individual
NPI: 1639729106
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Military Health Care Provider - Independent Duty Medical Technicians | 1710I1003X | Yes | - |
Frequently Asked Questions
NPI 1639729106 is the National Provider Identifier for MR. MICHAEL ETHEREDGE II, IDMT, a Military Health Care Provider - Independent Duty Medical Technicians provider located in Langley Afb, VA. This NPI was enumerated on September 17, 2019.
MR. MICHAEL ETHEREDGE II, IDMT practices at 77 NEALY AVE, Langley Afb, VA 23665.
Quick Facts
- NPI
- 1639729106
- Type
- Individual
- Enumerated
- Sep 17, 2019
- Last Updated
- Sep 17, 2019
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