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John La Cruz, IDMT

Military Health Care Provider, Independent Duty Medical Technicians in McConnell Afb, KS. Individual provider (NPI-1).

NPI number1760616015
StatusActive
Last updated in NPPESMay 14, 2009

Details

NPI
1760616015
Entity type
Individual (NPI-1)
Name
John La Cruz
Credential
IDMT
Sex
Male
Sole proprietor
No
Enumeration date
May 14, 2009
Last updated
May 14, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians––Yes

Practice location

22 Mdg
McConnell Afb, KS 67221-3712

Phone 316-759-5116

Mailing address

22 Mdg
McConnell Afb, KS 67221-3712

Phone 316-759-5116

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Other Independent Duty Medical Technicians providers in McConnell Afb, KS

All 9 Independent Duty Medical Technicians providers in McConnell Afb · All 96 providers in McConnell Afb

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