Individual
RAUL ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
4575 S. PHOENIX ST. 563RD OSS, DMAFB, AZ 85707
(520) 228-1859
Mailing address
4575 S. PHOENIX ST. 563RD OSS, DMAFB, AZ 85707
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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